Revenue Cycle Management

Hospitals can gain significant revenue by implementing an effective utilization review program.

Processes to improve out-of-pocket estimates and request upfront payments significantly increased point-of-service collections.

A predictive dialer allows staff to spend their time talking to patients who are available for a conversation rather than trying to reach patients who are not.

Hospitals and health systems should develop an operating model to address a new revenue cycle concept, called the clinical revenue cycle.

Hospitals and health systems require a revenue integrity function to best manage revenue cycle processes in today’s healthcare environment.

There are 11 key performance indicators health systems should track to assess the performance of a clinical revenue cycle

Hospitals and health systems seeking to establish a clinical revenue cycle should follow 5 steps.

As evolving market trends shape healthcare payment, providers continue to face real-world, day-to-day challenges that contribute to unpaid claims, unnecessary denials, workflow inefficiencies, and rework. By implementing the recommendations outlined here, providers can obtain the necessary visibility and control over their claims payment processes that can help them not only sustain a healthy revenue cycle,…

Part D plans will have fewer new tools to control drug spending than Medicare initially proposed.

Faced with $4 billion in cuts to Medicaid uncompensated-care payments that start in October, some hospitals warn they may have to close.