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 By 2018, CMS will more than double that number, linking at least half of Medicare payments to value-based models.
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.
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.
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.
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.
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.
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.
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.
Today RelayHealth Financial introduced ICD10Central.com–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.
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.