revenue cycle

How can you prepare for regulatory reimbursement changes? Scenario planning is proving essential to cope with value-based reimbursement, shrinking networks and the Affordable Care Act. Strategize and plan for success by downloading this checklist.

While the challenges of implementing ICD-10 are well documented, the impact to the revenue cycle is not as well known. Revenue cycle leaders must model their payor contracts now to mitigate the risks that ICD-10 will bring.

The 20 leaders gathered at the 2015 HealthLeaders Media Revenue Cycle Exchange in Austin, TX, tackled the challenges of clinical documentation, which they identified as the biggest threat to their organizations' revenue cycle efforts.

Denials are a pervasive and persistent problem. There is no single root cause for denials, and problems that lead to a denied claim occur throughout the revenue cycle. Read our whitepaper to discover how to analyze, prevent and manage denials.

A recent HealthLeaders Media Intelligence survey asked respondents to rank their top challenges impacting financial performance and to identify specific areas of concern within each of those issues. Their top three issues were system implementation and interoperability, recruiting and retaining talent, and reengineering the revenue cycle. On the surface, it’s tempting to think these findings aren’t surprising. Yet emerging external factors, including the cumulative effects of the HITECH Act (meaningful use), the Affordable Care Act, and an aging U.S. population, are creating new frameworks in which to view and solve these traditional problems.

Provider organizations can realize tremendous gains in financial performance by integrating electronic health record (EHR) and revenue cycle management (RCM) systems. Especially in the face of the transition to ICD-10, results include optimizing revenue streams directly at the point of care, maximizing and speeding reimbursement, minimizing denials and streamlining the collection process.

Healthcare organizations are facing uncertain times, which is putting strains on their revenue cycle management. Automation can help lower staff costs, enhance clean claims rates, cut denial rates, improve patient collections and reduce bad debt.

Healthcare organizations are facing uncertain times, which is putting enormous strains on their RCM. This white paper will show how you can lower your staff costs, enhance clean claims rates, cut denial rates, improve patient collections and reduce bad debt.

Today, healthcare providers need payment clarity – visibility into when and how much they will be paid, by whom, and the ability to better navigate the many obstacles to payment. To learn more, Download the new whitepaper from RelayHealth Financial.

Read Part 1 of the Revenue Cycle Management Peer-to-Peer series authored by Cathy Dougherty, VP of Revenue Cycle Management at Gwinnett Health System. In this article, Cathy discusses how Gwinnett Hospital System handles the business side of caring by helping patients to understand and plan for what they owe, resulting in a positive and satisfying financial patient experience - See more at: http://www.relayhealth.com/solutions/financial-solutions

In the digital economy, application programming interfaces (APIs) are essential for executing ideas quickly and seizing new business opportunities. They are the building blocks of digital transformation, enabling organizations to deliver exceptional customer experiences, create new revenue streams and connect employees, partners, apps and devices to data—anytime, anywhere. APIs are not necessarily a new technology, but in today’s digital world, they have risen in prominence and become important to every facet of the enterprise. This in turn has increased the demand for effective API management. But what does an effective solution look like? The API Management Playbook will help you understand: • Why digital transformation is crucial in the application economy • How APIs are the building blocks of digital transformation • Which key stakeholders in your organization are impacted by APIs • What the API lifecycle is and how it relates to API management • Thirteen key “plays” that API manag

This white paper shows how to take control of your business office with six simple steps.

Healthcare organizations are facing uncertain times, which are putting enormous strains on their revenue cycle management (RCM). Automation is proven to improve RCM measures, and even small improvements can significantly impact the bottom line. This whitepaper details how providers can embrace automation to help drive financial performance.

Children’s Mercy is not only one of the nation’s top pediatric medical centers, they have a strategy that improves organizational profitability in the face of constant change – all while delivering world-class care for their patients. Children’s Mercy accomplished what many have tried: integrating hospital and ambulatory revenue cycle activities with complete integration of all processes on a single IT platform.

Sharp is leading the way in the shift to shared risk. In this journey, they manage to the right financial metrics while still delivering appropriate care to their patient population. Watch the video to learn how GE Healthcare is helping Sharp make a difference.

Centricity™ Business helps Virginia Commonwealth University achieve new heights in financial performance while delivering award-winning care.

Centricity™ Business Performance Manager service helps Schumacher Group make significant workflow improvements and reduce rework costs by approximately $3.8 million per year.

The shift to value-based reimbursement (VBR) entails more financial risk for providers. Successful management of the transition to VBR can only be achieved when healthcare organizations are clinically and financially integrated to ensure tight care coordination and efficient resource utilization. That level of integration requires the aid of a robust IT infrastructure to support the enterprise. This whitepaper offers the opportunity to learn about new tools for healthcare providers to manage financial challenges associated with value-based reimbursement

This paper will explore some of the market dynamics driving the financial volatility in healthcare and will explore how advanced analytics, with the right IT backbone and organizational competencies, can help organizations successfully identify ways to manage revenue cycle profitability.

Download this case study to learn why Comprehensive Cardiology in Langhorne, PA engaged Allscripts to help save time, increase efficiency, reduce costs and make their vision of a community health network a reality.

Be prepared for ICD-10 with minimal disruption to your organization, and learn to succeed in a brave new world. Allscripts Revenue Cycle Solutions provide you peace of mind with the Breadth, Depth, and Quality of our products, ensuring you are ready for whatever comes your way. Download now to learn more.

Carolinas HealthCare System was growing, and as claim volumes mounted, claim error rates doubled. Find out how they recovered $8 million, brought claim edit backlog to zero, and reduced claim edits by 97 percent.

Adventist Health System was troubled by inconsistent billing practices and disparate systems across seven central billing offices. Find out how they reduced time-to-payment by 17 percent -- bringing days in accounts receivable to an all-time low -- by standardizing processes and improving workflow with RealMed (now known as Availity Revenue Cycle Management).

Asheville Anesthesia Associates faced a growing accounts receivable file and a payment collection process that was too slow. Learn how they used RealMed (now known as Availity Revenue Cycle Management) to reduce time-to-payment by 75 percent, and reduce their average days in A/R by 62.5 percent.

American Health Network faced one of the most vexing problems in health care: Claim denials. Learn how this physician-owned practice realized an ROI of 200 percent and recovered $1.4 million.