revenue cycle
publication date
Revenue Cycle
House Committee Calls for 'Swift Action' on No Surprises Act Final RuleLawmakers take issue with the importance of the qualifying payment amount (QPA) in the independent dispute resolution (IDR) process.
Revenue Cycle
A Look Back: Payment Rate Updates Take Center StageThe 2023 OPPS and Medicare physician fee schedule final rules were top of mind in the revenue cycle this month.
Revenue Cycle
CMS Moves Forward with Added Prior Authorization RequirementsCMS finalized new procedures that will be subject to prior authorization in 2023.
Revenue Cycle
No Surprises Act Prevented 9M Surprise BillsResearch by America's Health Insurance Plans (AHIP) and the Blue Cross Blue Shield Association (BCBSA) looks at the effects of...
Revenue Cycle
Massachusetts Hospitals Inconsistent on Price Transparency ComplianceSeven of the 19 Commonwealth facilities surveyed did not have information on discounted cash prices.
Revenue Cycle
5 Ways to Reduce No Surprises Act BurdensThe MGMA recently detailed five ways the government can help alleviate burdens from certain requirements under the No Surprises Act.
Revenue Cycle
ROI Measurement for RCM Automation Differs by ProviderHealthcare financial leaders were asked if and when they calculate return on investment (ROI) on revenue cycle management (RCM) automation.
Payer
Regence, MultiCare Implement Nation's First FHIR-Driven Prior Authorization Standard"Bringing pre-authorization to the point of care" reduces burden across stakeholders, notes one Regence executive.
Revenue Cycle
Quality, Revenue Impacts Loom as Patients Now Have a Clear Look Behind the Revenue Cycle CurtainPatients are now required access to medical records and information regarding enrollment, payment, and claims adjudication, adding stress to revenue...
Payer
Hospital-Payer Experience Worsening Due to Insurer Practices That Delay CareThe American Hospital Association (AHA) finds administrative policies are increasingly overburdening providers.
Revenue Cycle
Unexpected troubles hit large medical billing firm R1 RCM, part-owned by AscensionThe stock price of R1 RCM tanked by roughly 50% this week after the large medical billing and collections company...
Revenue Cycle
Rev Cycle Reporting of COVID-19 Codes Are Paving the Way for Research The spotlight is on your revenue cycle's coding team as COVID-19 reporting sheds light on a multitude of post-acute conditions...