Healthcare Trends and Data Show Clinical Shortage 'Tip of the Iceberg'

R1 RCMOctober 6, 2022

As the country is emerging from the worst of the pandemic, restaurants, local shops and national chains are constrained by staffing shortages. It’s an inconvenience to say the least, but this is just the tip of the iceberg as other sectors of the labor market are tightening in more crucial ways.

A healthcare labor shortage – one that ...

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R1 RCM Releases Two Reports Focused on Improving Financial Outcomes and Driving Efficiency in Revenue Cycle Management

R1 RCMSeptember 29, 2022

Independent reports highlight today’s top challenges and best practices during challenging financial times 

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RACMonitor: AMA Misses Opportunity to Simplify Hospital E&M Coding

Dr. Ronald HirschSeptember 25, 2022

AMA scores a hit with new guidelines; misses simplification of one subset of hospital E&M codes.

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Early Insights on Independent Dispute Resolution Under No Surprises Act

R1 Regulatory Affairs & Regulatory Compliance TeamSeptember 23, 2022

On August 19, 2022, the Departments of Health and Human Services (“HHS”), Labor, and the Treasury (“the Departments”) issued a Federal Independent Dispute Resolution Process Status Update.1 In the statement, the Departments reported that between April 15th and August 11th, 2022, providers initiated ...

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How Entri Pay Disrupts the Patient Payment Model

Nikolaus TrottaSeptember 21, 2022

The unprecedented challenges health systems face today are well publicized – from rising costs to scarce labor to shrinking margins – each of which is compounded by the ever-increasing portion of revenue that falls under patient responsibility. Patients can’t keep up. Even insured patients now represent

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RACMonitor: Medicare Advantage -- No Apparent Advantage for Some

Dr. Ronald HirschSeptember 16, 2022

Complaints are abundant from beneficiaries.

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RACMonitor: Patient Truly Ill? Why Random Audits Could Prevent Recoupment

Dr. Ronald HirschSeptember 9, 2022

Recently, the Office of the Inspector General (OIG) of the Department of Health and Human Services (HHS) released an interesting audit. They audited billing of critical care visits by physicians who are employed by Lahey Clinic in Massachusetts. As usual, they planned to audit 100 admissions but then, as they describe, because of the ...

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R1 Announces RCM Partnership with Emergency Physicians Professional Association

R1 RCMAugust 31, 2022

MURRAY, Utah, August 31, 2022 – R1 RCM Inc. (NASDAQ: RCM) (“R1”), a leading provider of technology-driven solutions that transform the patient experience and financial performance of healthcare providers, ...

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3 Ways Revenue Cycle Partnerships Produce Financial Sustainability

R1 RCMAugust 25, 2022

There is no doubt that many healthcare systems and practices are in a strenuous financial period. Organizations need to quickly identify opportunities to reduce costs and increase profitability, which is making them seriously consider

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R1 RCM Announces 10-Year End-to-End Revenue Cycle Management Partnership with St. Clair Health

R1 RCMAugust 25, 2022

MURRAY, UT – August 25, 2022 – R1 RCM Inc. (NASDAQ: RCM) (“R1”), announced today a 10-year partnership with St. Clair Health to serve as its primary provider of end-to-end revenue cycle management (RCM) services.  St. Clair Health is ...

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