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Turning Increased Ambulatory Volumes into Financial Strength: 4 Moves for RCM

Healthcare IT Today

For example, as outpatient services such as infusions outpace projections , and as the Centers for Medicare & Medicaid Services open the door to more outpatient procedures by moving 11 procedures off its “inpatient only” list, ambulatory providers must have the financial strength to make the investments needed to support growth.

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Avoiding Red Flags: Finding the Right Productivity Balance

Healthcare IT Today

The following is a guest article by John Wallace, PT, OCS, Senior Vice President of RCM at WebPT. The number of Medicare TPEs and commercial payer take-back audits alone is skyrocketing. They also look to flag “items and services that have high national error rates and are a financial risk to Medicare.” Tricare and Medicare).

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Bonus Features – May 7, 2023 – Less than 1% of all medical claims include an ICD-10 Z code, 78% of consumers say virtual health is important when considering health plans, and more

Healthcare IT Today

News CMS has opened the Hardship Exception application period for eligible hospitals and critical access hospitals (CAHs) that participated in the Medicare Promoting Interoperability Program in 2022. Global venture capital funding was just $21 billion in April 2023 , a 56% drop from April 2022, according to Crunchbase.

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Bonus Features – November 13, 2022 – HCA extends 30-year relationship with MEDITECH, cost of care replaces pandemic as top reason to defer care, and more

Healthcare IT Today

More than 80% of all claims denials are associated with Medicare , according to the latest annual benchmark report from RCM and auditing software maker MDaudit. DirectTrust announced that more than 208 million messages were sent and received on the DirectTrust network in Q3 2022. healthcare system to keep them healthy.

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Bonus Features – December 4, 2022 – 34% of Americans take anti-anxiety meds during the holidays, hospital margins at -2% but show signs of hope, and more

Healthcare IT Today

RCM consultancy MDaudit announced three leadership team appointments : Raj Joshi as CISO, Jaenna Babajane as Vice President of Customer Experience, and Nisheet Goenka as VP of Engineering. Medicare ACO platform Vytalize Health named Frank Bordonaro as Senior VP of Value-Based Care and Network Development.

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Bonus Features – August 6, 2023 – 83% of hospitals are collecting SDoH data, 46% of hospitals planning to use large language models in the call center, and more

Healthcare IT Today

Healthcare accounted for 36% of all enterprise data breaches in 2022 , according to the latest research from ForgeRock. The report also cited a 50% increase in breaches from 2022 as compared to 2021. EHR and RCM vendor ModMed appointed Denise Ceule as Chief Legal Officer.

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Weekly Roundup – July 23, 2022

Healthcare IT Today

The unofficial theme of this year’s HFMA conference was how hospitals are dealing with staffing challenges in RCM and collections. Medical imaging vendor Intelerad announced a growth investment from TA Associates that is expected to close in the third quarter of 2022.