Revenue Cycle Management
Two key congressional committees have agreed on a framework to scrap the problematic Medicare Sustainable Growth Rate, or SGR, payment formula for physicians and replace it with one that would link physician reimbursement to the quality of care provided.
The Affordable Care Act cuts Medicare price growth. But if hospitals respond by increasing the amount of care provided, the potential cost savings from price restraint may be lost.
The Medicare Part A deductible will increase by $32 in calendar year 2014, while the monthly Part A premium will decline by $9 or $15. Part B monthly premiums and deductibles will remain unchanged.
Overall U.S. healthcare prices remained relatively unchanged from August to September 2013, according to the federal Bureau of Labor Statistics.
Hospital emergency departments may begin receiving "considerably more" reimbursement once the Affordable Care Act is fully implemented, a new study claims, pleasing hospital CFOs as well as ER docs.
The Centers for Medicare & Medicaid Services is currently assessing the impact of the partial government shutdown on the 2014 Medicare fee for service payment regulations, and intends to issue the final rules on or before November 27, 2013.
While estimating the cost of an ICD-10 transition may be scary, medical practices should perhaps be more worried about what could happen to revenue.
Hospitals are cutting their operating costs in order to adjust to reduced revenues as Medicare tightens payments.
According to a new report by Moody's Investors Service, the health insurance exchanges mandated by the Affordable Care Act may increase risks to credit quality that will pressure not-for-profit hospital revenues in 2014.
In the revenue cycle management market, hospitals show high adoption of technology focused on eligibility and scheduling, with much work left to be done around charity screening and propensity to pay, according to a new report from HIMSS Analytics.