CMS Announces 20 Percent Cut in Physician Fees (But Don't Panic!)
The headline is alarmist, but we all know that the mandated Sustainable Growth Rate (SGR) cut will once again be overturned, as it has over the past decade. But until...
Billing and Coding
Three Insights into RAC Redeterminations That Could Save You Future Headaches
[Editor's note: This month insidePatientFinance will present a series of articles, white papers, best practices, and news surrounding the always-controversial Recovery Audit Contractors.] Over the past several weeks RACs have...
Massachusetts Offers Glimpse into the Future of Healthcare Accounts Receivable
October 1 was D-Day for the Patient Protection and Affordable Care Act, and as the nation knows, it has not been without problems. President Barack Obama’s administration has promised that the...
Three Signs Your Customer Service Is Killing Your Revenue Cycle
Thanks to the Patient Protection and Affordable Care Act, patient satisfaction has become a metric by which healthcare providers will be judged. While the clinical side may be curing diseases...
ICD-10 Anyone? Healthcare.gov Becomes Cautionary Tale of a Project Done Wrong
If the team responsible for Healthcare.gov had created a communications plan, perhaps the debacle that was the federal health insurance exchange website would never have happened. A solid communications plan...
CMS Quietly Postpones Enforcement of Two-Midnight Rule to April 1
The Centers for Medicare and Medicaid Services (CMS) have delayed enforcement of the controversial two-midnight rule for another three months to April 1, 2014. In late September CMS had announced...
Want Fewer Denials, Faster Reimbursement? Improve Your Clearinghouse Relationship
Not all clearinghouses are equal, and what many healthcare providers don’t realize is that a clearinghouse is not a “one size fits all” operation. It is a conduit to your...
Advocate Health Care selects Ontario Systems to Drive Centralized Business Office Efficiency
Ontario Systems, a leading receivables management technology and services provider, announced today that Advocate Health Care has selected Ontario Systems’s Artiva Healthcare solution to implement in its shared revenue cycle...
CMS Eases Enforcement of Two-Midnight Rule for Three Months
Last week the Centers for Medicare and Medicaid Services explained how it would investigate and prosecute the new 2-midnight rule for Medicare inpatient reimbursement that went into effect yesterday. Over...
Small Balance Adjustments: An Effective Tool for Resolving Patient Accounts?
Some have advised that an effective tool in patient account management — both for insurance and patient/self-pay balances — is using small balance adjustments to effectively resolve these accounts. Putting...