Revenue Cycle News Update – November 8, 2018
Revenue Cycle News Update for November 8, 2018
This is a regular feature showcasing the most vital recent news stories in healthcare IT and revenue cycle management.
Here, once again, are the top stories since our last news roundup as well as what you’ll need to know in the next few weeks.
Medicare / Medicaid News
CMS provides guidance on what to do when new Medicare cards arrive, the circumstances under which Medicare may (and will not) make a phone call, plus more helpful info and updates.
We help you know up-front and in real-time what coverage your patients are eligible for. Medicare and Medicaid are just two of the hundreds of payers and health plans in our system.
Only 48 percent of ACO leaders in the National Association of ACOs (NAACOS) survey reported that their organization would stay in the revised Medicare ACO program, which would be called the Pathways to Success initiative. The remaining 16 percent were neutral on whether their organization would continue in the revised program.
Making it easy for registration staff to find out what the patient’s benefits are is the first step in efficient revenue cycle management for all types of healthcare providers:
Private Payer News
Making patient financial responsibility clear from the get-go is an imperative for providers trying to avoid no-pays and consumer dissatisfaction.
With Insurance Discovery, you can give patients peace of mind by finding coverage they didn’t know they had—improving their experience and your bottom line.
Approximately 34 percent of all healthcare payments made in 2017 were tied to an alternative payment model (APM) with shared savings, shared risk, bundled payments, or population-based payments, according to a new report from the Health Care Payment Learning & Action Network (LAN).
The revenue cycle begins with patient-facing tasks that have a huge impact on back-end claims management and reimbursement. Here are five eligibility best practices.
The possible revenue reduction associated with alternative payment models with downside risk is turning more practices away from participating compared to four years ago.
While we can’t change policy, our web-based benefit verification makes it easy for medical practices to check the details of insurance coverage and patient financial responsibility up front.
Upcoming Revenue Cycle Events
We’d love to talk! Here’s where to find us over the next two months:
Sheraton Hotel, New Orleans LA
Holiday Inn, St. Cloud, MN
Radisson Hotel, La Crosse WI
Holiday Inn and Suites, East Peoria, IL
Kingsmill Resort, Williamsburg, VA