Dysfunctional patient billing is a major distraction for both patients and clinicians, according to recent research conducted by HIMSS in partnership with OODA Health. The research report reveals patients are distracted by bills and payment concerns resulting in a lower level of compliance and adherence to medical plans. Clinicians are distracted by clerical/financial tasks that limit time with or take time away from patients. This research complicates the simple construct of patient billing as
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Revenue Cycle Management | News, Analysis, Insights - HIT Consultant
How Will FY2020 IPPS Proposed Rule Affect Hospital CDI Programs?
In April, Centers for Medicare and Medicaid Services (CMS) released the fiscal year (FY) 2020 inpatient prospective payment systems (IPPS) proposed rule. The proposed rule notably includes approximately 1,500 complications or comorbidities (CC)/major complications or comorbidities (MCC) designation changes and 324 changes to International Classification of Diseases (ICD)-10-CM codes, along with several other updates. The designation changes are an effort to respond to the notion that the
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10 Considerations for Success In A Post-MACRA Value-Based Healthcare Reality
The first two years of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Quality Payment Program (QPP) are in the books and many organizations are wondering if their strong performances will ever be met with a significant upside adjustment.
Year 1 (2017) enjoyed very high participation levels, 95% of eligible clinicians, but very low upside adjustments. Between the Test Pace option, artificially low bar (3 points) for an upside adjustment, and numerous opportunities to score
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Report: Health Systems Are Struggling to Simplify Patient Billing & RCM Processes
Today’s health systems are prioritizing patient financial experiences, yet many still struggle to simplify patient billing and align it with revenue cycle management (RCM), according to an in-depth study, commissioned by patient payment and engagement platform Cedar and conducted by The Health Management Academy (The Academy). The Cedar and Academy study examined practices at 20 of the top 100 U.S. health systems including qualitative and quantitative analyses of 23 senior executives
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Norton Healthcare Goes Live on Kyruus ProviderMatch Patient Access Platform
Norton Healthcare, a not-for-profit health system based in Louisville, has deployed the Kyruus patient-provider matching solutions to enhance patient access across its five hospitals, 14 urgent care clinics, and 190 medical practices. Now working with Kyruus, Norton Healthcare is empowering consumers to choose the providers that best suit their unique clinical needs and personal preferences for both adult and pediatric care.Enterprise-Wide Provider DirectoryBefore deploying ProviderMatch for
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M&A: Experian Acquires Care Coordination Platform MyHealthDirect
Experian has acquired MyHealthDirect, a developer of digital care coordination solutions based in Nashville that optimizes scheduling and care planning for providers, payers and consumers. The move gives Experian’s health business a strategic boost as it continues enabling clients to meet the changing demands of consumers – in particular, demands around removing complexity and increasing transparency in healthcare. Financial details of the acquisition were not disclosed. Growing Importance of
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Research: Half of Hospital Leaders Plan to Invest in AI by 2021
Half of hospital leaders plan to invest in artificial intelligence (AI) and robotic process automation (RPA) solutions by 2021, according to a new study conducted by Olive AI that reveals AI adoption healthcare is still in its infancy. The study explores how hospital leaders are responding to the imperative to drive efficiency and reduce costs through strategic investments in non-clinical technologies. Conducted in partnership with Sage Growth Partners, the survey respondents included 115
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State of the Patient Financial Experience in 2019: 6 Key Trends to Know
Waystar, a provider of cloud-based revenue cycle technology has released an industry survey examining today’s state of the patient financial experience. In the first half of 2019, Waystar surveyed 1,000 consumers about their last hospital encounter and their experience with the hospital business office. The study, "The Patient Financial Experience: Consumer Attitudes and Behavior," reveals that the biggest barriers to a positive patient financial experience are lack of understanding around
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Nordic Expands Beyond Epic With New Cerner Solutions Business Line
Healthcare IT consulting firm Nordic continues its expansion beyond Epic consulting with the launch of a new Cerner Solutions business line to meet the needs of healthcare organizations. The new business line reflects Nordic’s long-term strategy of expanding its offerings beyond Epic consulting to meet the needs of its clients, including advisory services, performance improvement, ERP Solutions, and Managed Services. Nordic acquired The Claro Group's revenue cycle management (RCM) transformation
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4 Reasons Why Healthcare Executives Are Less Eager to Invest in Health IT
Hospital and health system C-suite executives recognize that technology will play a central role in helping their organizations meet quality and cost objectives. Yet that’s not necessarily translating to a market that’s more fruitful for health IT companies. In fact, if your healthcare system is taking a more conservative approach to health IT investments in 2019, it’s not alone.
A recent survey of 100 C-suite leaders by Managed Healthcare Executive found that fewer than half of healthcare
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