After releasing new HCC coding guidelines, CMS has published the latest Medicare Advantage Rate announcements, sparking speculation around the impact on providers. These potential impacts include shifts in Medicare Advantage enrollment, questions around the effects of changing economic conditions, and increases in payments to Medicare Advantage plans. All of this is unfolding at a time when government spending is under increased criticism – Medicare Advantage plans are known to cost the
Switching out legacy IT systems can be a time of change and disruption for healthcare revenue cycle leaders – but it can also be a time of opportunity. While many leaders will look for ways to identify high-performing replacement solutions or even consolidate technologies, dropping a legacy system is also an excellent time to consider
The healthcare revenue cycle has seen major trend upheaval lately, many of which have significant impact on how revenue cycle leaders should approach decisions around medical billing services in the USA.
Becker’s Healthcare has highlighted eight key trends, and one group in particular is a significant point of growth and adaptation for providers [1]. This is the category of “New Work Models”. It is a look at the
Outdated healthcare accounts receivable management costs more than many healthcare leaders realize. Many are hobbling along, making small tweaks to systems and processes that don’t come close to the goal of true modernization – and they’re paying for it. Payment inefficiencies waste $760 billion to $935 billion a year [1]. This issue
For years, vendor partners were icing on the cake for many healthcare providers – medical coding outsourcing services were something leadership considered under specific circumstances or in response to certain external pressures in the industry. This, though, has changed. Innovation and disruption in the industry now mean
