Company Blog

Finding Confidence with Constant Change: Projecting Revenues in Value-Based Care

Posted by John Shewell - Vice President, Healthcare Analytics on July 13, 2016

The transition to value-based care continues to accelerate, and Centers for Medicare and Medicaid Services (CMS) policy updates ensure that this trend will continue. At the end of 2014, Medicare payments based on value measures totaled 20% of all payments[1] By 2018, CMS will more than double that number, linking at least half of Medicare payments to value-based models.

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Case Study: Saint Luke’s Health System – Tapping the Power of Analytics to Help Boost Clean Claim Rates, Reduce Rejections

Revenue Cycle , RelayHealth Financial , EMR , EHR , Analytics , RelayAsssurance , RelayAnalytics Acuity , Claims management , Claims submission , Denial prevention

As it prepared to transition to a new EMR, Saint Luke’s Health System needed the ability to actively monitor specific revenue cycle KPIs and establish benchmarks to keep revenue on track–both during and after the migration.

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The Interoperability Evolution

Posted by Arien Malec - Vice President, Strategy and Product Marketing on April 8, 2016

Interoperability , HITECH Act , EHR , CommonWell , FHIR , person-centered interoperability

The current state of interoperability is not unlike Charles Dickens' A Tale of Two Cities: "It was the best of times, it was the worst of times." In the history of clinical medicine, we have more interoperability than ever before — more electronic data is flowing in more places for more purposes. Yet, there's also more frustration about the state of interoperability leading to more attention across our industry and our country than ever before.

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Beware the EMR “Ripple Effect”

EHR , EMR , Revenue Cycle , RelayHealth Financial

Complex, multi-phased EHR-EMR conversions often present opportunities to introduce new systems and technologies that lie outside of the system—including revenue cycle management. But what may appear to be an upgrade to a system that is better matched to the new EHR isn’t always that.

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Five Strategies for Maintaining a Healthy Revenue Cycle During an EMR Transition

RelayHealth Financial , Revenue Cycle , Revenue Cycle Management , EHR , EMR

You’ve heard the horror stories, now learn how making clinical and financial data “inseparable” can help ensure a smooth migration that doesn’t derail the revenue cycle. Providers can help ensure that clinical and financial systems are in sync by applying five simple strategies for maintaining healthy revenue during an EMR transition.

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Top Three Insights from the HL7 FHIR® Connectathon

Posted by Elisabeth Berger - Data Platform Product Manager with RelayHealth on February 25, 2016

RelayHealth , interoperability , FHIR , health information exchange , APIs , standards , HL7

My first trip to the FHIR Connectathon in Orlando, Florida, last month was everything I'd been told to expect. It was filled with HL7®, masterminds, brilliant developers, exceptional healthcare speakers, and a slew of erudite Connectathon participants. While my primary objective was to test-drive FHIR, I'd like to share three unexpected and exciting discoveries that made my Connectathon experience unique.

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Welcome to October 1st!

ICD-10 , ICD10 , Coding , Oct. 1 , Claims processing , claims management , denial management , reimbursement , RelayHealth , RelayAssurance , RelayClearance , RelayAnalytics , Analytics , Revenue Cycle

Whoever said, “Dates on the calendar are closer than they appear” wasn’t kidding. The oft-delayed, much-covered and highly anticipated ICD-10 deadline has finally arrived.

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Taming the Complexity of Medi-Cal

Claims processing , claims management , denial management , reimbursement , Medi-Cal , Medicaid , RelayHealth , RelayAssurance , RelayAnalytics , Analytics , Revenue Cycle

Most hospitals grapple with generating clean claims, streamlining claims management, and gaining insight into the source of denials. For California healthcare providers, these challenges are heightened by the requirements of Medi-Cal, the state’s publicly-funded Medicaid program. To shed light on some of the processes and tools that can help providers overcome Medi-Cal’s complexity and boost overall revenue cycle performance, RelayHealth Financial offers two new resources.

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News: RelayHealth Financial Unveils

McKesson , McKesson Health Solutions , RelayHealth Financial , Revenue Cycle , Revenue Cycle Management , ICD-10 ,

Today RelayHealth Financial introduced–the last site that providers will need for the last mile of their ICD-10 journey. With a real-time ICD-10 KPI dashboard, expert coding guidance, payer-supplied resources, and peer-powered best practices, the site offers a wealth of information to help providers prevail during these final hectic days.

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Six Steps to Price Transparency–Boosting Collections and Improving Patient Satisfaction

McKesson , McKesson Health Solutions , RelayHealth Financial , Revenue Cycle , Revenue Cycle Management , Price Transparency , St. Luke’s Health System , Collections , Patient Satisfaction

At first glance, increased patient collections and improved patient satisfaction don’t appear to be linked. But there’s a lot to be said for the power of price transparency when it comes to patient engagement. After all, patients want visibility into what they will owe, and a happy patient is much more likely to satisfy his or her financial obligation.

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