As the COVID-19 crisis continues, telehealth has emerged as the latest disruption to the healthcare industry. While healthcare providers and consumers alike were slow to adopt telehealth before the crisis – only 19 percent of Americans had used it – it has quickly become a vital care delivery mechanism. Nearly ...
Now more than ever in healthcare, the focus is on the patient—and what they need from providers and payers in order to have the ideal patient experience. As we embark on a new decade, it’s exciting to see organizations showing signs of being more open to investing in revenue cycle technology that gives ...
Technologies under the general category of “automation” include artificial intelligence (AI), machine learning, robotic process automation (RPA), and self-service tools which can improve efficiency or replace entirely the work human administrators do today. The revenue cycle traditionally is a complex operational ...
With the advent of MACRA, CMS has begun to shift healthcare reimbursement from fee-for-service to one based on achievement of value-based metrics. The goals of Value-based care are to improve care quality and lower costs. Independent providers must overhaul their financial and clinical processes to ...
Patients who do not show up for scheduled appointments disrupt practice flow by taking dedicated time slots away from other patients and negatively impact the productivity of both the provider and staff. Practices often waive ‘no shows’ as a normal part of business but when translated to a bottom-line impact, ...
Quality and value seem to be two of the most elusive words in health care today. The debate over how to define, measure, and achieve quality and value, stretches from shore to shore, across all specialties and to the top reaches of our government. While definitions and rules change with startling rapidity, one ...
Actively negotiating with payers is an important aspect of both practice management and revenue cycle management activities for independent medical practices. Although the impact can be significant, most providers have had little to no experience doing so or have not seen much success in past negotiations, ...
What matters more: how things work or the outcomes they produce? Take Tiger Woods, for example. If you’re like most of us, you don’t know or care about the technical aspects of his golf game, but you are impressed that he’s won 14 major championships and is one of the world’s highest paid ...
Try to imagine what it would be like if all claims were clean, compliant and processed without human or technological intervention. Hold that thought a little longer and you’ll see health systems getting accurate reimbursement for the care they provide, and physicians focusing solely on patients. This ...
With the hospital landscape becoming even more competitive and outpatient revenue growing at a faster rate, independent physician practices are becoming increasingly popular. This past summer, Modern Healthcare ...
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