WEDI LogoLast 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.

6 of 10 AmericansNearly six in 10 Americans who bought insurance for this year through the health law’s online marketplaces were previously uninsured—most for at least two years,

slide2_imgThere 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.

McKinsey & Company LogoThe consulting firm, McKinsey & Company recently published an Intelligence Brief on the configuration of provider networks offered by the plans on the Healthcare Exchanges.

ExchangeThe 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.

Patient PortalEven 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.

Most people think about the revenue cycle from the back end perspective - submitting claims, follow up on denied claims, constructing appeals, effective AR management, sending statements, posting payments, and so on and so forth.

slide1_imgThe message that the healthcare industry in the United States is broken is a popular refrain from just about every corner these days. LogoThe Obama administration is planning a makeover of the site.