Finance, Revenue Cycle

Opposing Viewpoints: Provider Organizations Give Differing Perspectives on What the ICD-10 Delay Really Means

April 11, 2014     Rajiv Leventhal
In the past week, provider organizations have been outspoken in how the ICD-10 delay will affect them moving forward. But not everyone seems to be on the same page. HCI has interviewed two such patient care organizations with differing opinions on the ripple...

Enabling Independent Physicians to Hit Quality and Cost Goals

March 27, 2014     John DeGaspari
Independent physicians are under the same mandates as their employed counterparts to offer the best possible care for their patients at the lowest possible costs. Yet independent practices often lack the IT infrastructure and tools to achieve those goals. In...

Healthcare Providers Face Intensifying Fraud Scrutiny in 2014

March 11, 2014     John DeGaspari
Healthcare organizations should be prepared to face increasing scrutiny in 2014, according to “Healthcare Fraud and Abuse Review 2013” published by Nashville, Tenn.-based law firm Bass, Berry & Sims PLC, which cites a near doubling of whistleblower lawsuits...

Can Healthcare IT (HIT) Deliver Value? (Part II)

January 31, 2014     David Levin, M.D.
In my previous post on a value-based approach to healthcare information technology (HIT), I began by noting the emergence of the Value Equation as a key concept in reforming the U.S. healthcare system. This shift from volume to value will have an enormous effect...

How SaaS Has Helped A Rheumatology Practice Survive

January 22, 2014     Rajiv Leventhal
Not too long ago, the Miami Beach, Fla.-based Vanguard Rheumatology Partners found itself struggling mightily with its EHR vendors, leaving the practice with more than $300,000 in outstanding claims. A simple switch the cloud without implementation costs has...

GE Healthcare Acquires API Healthcare

January 21, 2014     Gabriel Perna
API Healthcare, a Hartford, Wisc.-based provider of workforce management and business analytics software for healthcare providers, has been acquired by GE Healthcare this week.

Laying the Foundation for Bundled Payments in Tennessee

January 14, 2014     Mark Hagland
Earl Anderson, executive director of Tennessee Orthopaedic Clinics, a 23-orthopedic-surgeon medical group in Knoxville, describes his organization’s development of mechanisms for becoming involved in bundled-payment contracting

Survey: Healthcare Organizations Largely Unprepared for ICD-10 Implementation

January 8, 2014     Rajiv Leventhal
With ICD-10 implementation less than 10 months away, health plans and providers haven't fully determined how the new coding standards will affect their businesses, according to a recent poll conducted by KPMG, the N.Y.-based audit, tax and advisory firm.

GUEST BLOG: Why Protecting Sensitive Information is Sound Business

January 3, 2014     David Holtzman, Vice President of Privacy & Security Compliance Services, CynergisTek
2013 brought a flurry of enforcement actions with federal agencies investigating failures by healthcare providers, treatment facilities, and health insurance plans to have appropriate safeguards in place to protect sensitive health information. Interestingly,...

Quality, Payment Initiative Positively Impacts Pediatric Care

December 24, 2013     John DeGaspari
Within two years of implementation, Blue Cross Blue Shield of Massachusetts' Alternative Quality Contract (AQC) had a small but significant positive effect on the quality of pediatric care, according to a study from Boston Children's Hospital.

IT Supporting the Business of Open Payments

December 16, 2013     Anita Griner
While much attention has been focused on the policy aspects of the new Open Payments (Physician Payments Sunshine Act) transparency program, there is a technical engine behind the policy which will make or break this initiative. When it comes to the success of...
of 25Next