CMS Will Only Adjust Medicaid Rules – Not Drastically Change Them

Posted in RCM Solutions, Revenue Cycle Solutions

After much ballyhoo and for years of promising a major overhaul to the cost-prohibitive Obama-era managed care rules, the CMS has issued a proposed regulation that makes smaller changes – not the drastic “gutting” that had been promised — to the standards states meet when running their Medicaid plans.

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Billions of Dollars Flow into Private Medicaid Plans with NO Cost Oversight or Efficacy of Treatment Determined

Posted in RCM Solutions, Revenue Cycle Solutions

Cost containment has become a leading factor in the delivery of healthcare. What are some of the issues that are contributing to these burgeoning costs? One of them is Medicaid. We spent over $576 billion on Medicaid programs in 2017, as reported by the Kaiser Family Foundation.

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What Will Be the Effects of Merger Mania on the Delivery of Healthcare?

Posted in Best Practices, RCM Solutions, Revenue Cycle Solutions

By Nitin Thakor, GeBBS President & CEO A Healthcare Finance News article last year quoted a New Jersey hospital executive as saying: “Big is going to be better; small is not going to survive.” Time will tell if he is right, but most industry analysts agree that the coming year will be full of acquisitions …

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AHA President and CEO Asks President-Elect Trump For “Steady as She Goes” Effort on Healthcare

Posted in Best Practices, Healthcare Revenue Billing, Insurance Billing Solutions, Medical Billing BPO, RCM Solutions, Revenue Cycle Management (RCM), Revenue Cycle Solutions

By Nitin Thakor, GeBBS President & CEO AHA President and CEO Rick Pollack recently sent a congratulatory letter to President-elect Donald Trump and asking him to go slowly on changes to our healthcare delivery system, particularly when it comes to the Affordable Care Act (ACA). This is good advice since healthcare represents a significant portion …

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Beware of Secondary Injury to Your Wallet after an ER Visit

Posted in Healthcare Revenue Billing, Insurance Billing Solutions, Medical Billing BPO, RCM Solutions, Revenue Cycle Management (RCM), Revenue Cycle Solutions

A recent article in US News and World Reportexplained a little known fact of which most patients are completely unaware. A trip to the emergency room could cause a secondary injury to a patient’s wallet. Even if a patient goes to a hospital included in his or her health insurance network, if the emergency room …

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The Importance of Revenue Cycle Management in an Evolving Healthcare Delivery Environment

Posted in Health Information Management (HIM), Offshore Revenue Cycle Management, RCM Solutions, Revenue Cycle Management (RCM), Revenue Cycle Solutions

At the recent Becker’s Hospital Review 5th Annual CEO + CFO Roundtable healthcare experts seasoned in the revenue cycle management (RCM) process discussed how their organizations and companies are working to stay ahead of the financial curve.  As hospitals evolve into a value-based care delivery environment, RCM becomes even more critical. The Roundtable highlighted the …

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How to Survive in a Value-Based Healthcare Delivery Environment

Posted in RCM Solutions, Revenue Cycle Management (RCM), Revenue Cycle Solutions

Black Book™, well-known for its accurate, impartial customer satisfaction surveys in the services and software industries, recently conducted its annual revenue cycle management outsourcing and software/technology user poll. They survey the clients of RCM vendors to provide insight into their customer experience in the functional areas of Billing, Charge Capture, Mid Process Coding, Claims Management, …

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