Making the Grade: Education and Experience Considerations for a Variety of Revenue Cycle Roles

Date: December 1, 2016
Category: Revenue Cycle

In this time of mergers and acquisitions—as well as changes in regulations such as ICD-10 and the Affordable Care Act—leaders know a detail-oriented revenue cycle team aimed at improving efficiency is a valuable asset. Because of this, organizations may want to stay competitive to maintain such a workforce, and may consider evaluating their education and […]

MACRA Final Rule: CMS Listened, But Is It Enough?

Date: November 29, 2016
Filed under: CMS, MACRA, mgma, MIPS, Regulations

The MACRA final rule is currently available for online viewing ahead of its official publication date of November 4th, 2016. Along with the additional participation options announced in September, the final rule features a number of notable changes. Chief among them are changes in the weighting and requirements for the MIPS path of the Quality […]

Propensity-to-Pay Scoring: The Dos and Don’ts of a Successful Approach

By: Stephen Barry
Date: November 23, 2016
Category: Revenue Cycle
Filed under: propensity to pay

To ensure timely reimbursement is captured for services and patient satisfaction during collection efforts remains as high as possible, healthcare organizations have explored solutions that indicate the likelihood of patient payments using a blend of data. The application of a program such as this can have numerous benefits—from reducing bad debt and improving collections to […]

Breaking Down the ONC’s New Rule on the Health IT Certification Program

Date: November 21, 2016

On October 14th, 2016 the ONC issued the final rule for the proposed “ONC Health IT Certification Program: Enhanced Oversight and Accountability.” This rule stands to modify the ONC Health IT Certification Program and establish new requirements. The rule has three primary focuses: Direct Review, Consistent Authorization and Oversight, and Increased Transparency and Accountability. Direct […]

Educating Staff on Regulatory Changes

When new healthcare regulations are passed and enacted—especially ones as important and sweeping as MACRA (Medicare Access and CHIP Reauthorization Act)— providers need to ensure that affected staff members understand how the new rules affect them and how to stay compliant. However, this can be a daunting task for large-scale healthcare organizations that employ thousands […]

Trump on Healthcare: The Possible Future of the ACA

Open enrollment for this, the fourth year of the insurance marketplace, opened on November 1st. On November 8th, Donald Trump, a candidate who ran on the promise of repealing and replacing the Affordable Care Act (ACA), was elected president. What does this mean for the healthcare system going forward? Though it is foolish to try […]

Registering Transgender Patients – A Roundtable on Developing Modern Policies and Processes

As understanding grows of the healthcare disparities faced by transgender patients, revenue cycle leaders are seeking best practice processes for registration and critical data element (CDE) collection, among other procedures. Academy research shows that while many healthcare providers do not yet have policies or procedures in place to ensure they provide a positive experience for […]

Reporting Requirements in MACRA’s Final Rule: What MIPS-Eligible Clinicians Need to Know

After introducing the proposed rule for the Medicare Access and CHIP Reauthorization Act of 2015 in April, the Centers for Medicare & Medicaid Services gave the industry several months to weigh in on its recommendations. During this time, CMS officials received more than 4,000 comments and went on a listening tour attended by roughly 100,000 […]

Ransomware is on the Rise, and it’s Targeting Healthcare

Date: November 11, 2016
Filed under: data security, ransomware

By now, news stories about hospitals falling victim to ransomware attacks seem to emerge on a weekly basis. Worse yet, hospitals are the most popular targets for hackers utilizing ransomware programs, suggesting that those attackers understand the vulnerability and value of protected health information. The push for rapid digitization of medical records and patient information […]