Switching Revenue cycle partners is a big decision for practices.
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The Clinician and Group Consumer Assessment of Healthcare Providers and Systems (CG-CAHPS) survey is a standardized survey tool to measure patient perceptions of care delivered by a provider (e.g.
Physician Quality Reporting System (PQRS) is a pay-for-reporting program initiated by CMS in 2006. PQRS uses a combination of incentives and payment adjustments for eligible professionals, if they report quality measures satisfactorily.
Last week the Workgroup for Electronic Data Interchange (WEDI), sent a letter to HHS Secretary Kathlee Sebelius. The letter included a recommended ICD-10 roadmap which outlined various steps the agency should take for a smooth transition to ICD-10.
There are few more important decisions for a practice than choosing a revenue cycle management partner. Practices are recognizing that the investment, expertise and infrastructure required to effectively manage this complex process are increasingly out of reach.
Black Book, a leading market research firm in healthcare, recently released its annual report on the 2014 State of the Revenue Cycle Management industry. What is clear from the survey is that practice managers and physicians both recognize that effective revenue cycle processes are the lifeblood of their practice. Streamlined patient registration, insurance and benefit verification, charge capture, and claims processing are essential to maintaining practice viability.
The consulting firm, McKinsey & Company recently published an Intelligence Brief on the configuration of provider networks offered by the plans on the Healthcare Exchanges.
The Affordable Care Act (ACA) is forcing structural change to the way that healthcare coverage is provided in the United States, affecting everything from the cost of health insurance to the way that insurers manage risk and design certain health benefits.
Even with the sort of state-of-the-art RCM system described in the last post, practices still need to have people working on their behalf who have deep experience in working with payors to ensure appropriate payment is made 100% of the time.