Medicare, RCM and Survey - Connected Health Pulse

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

Healthcare IT Today

OCTOBER 23, 2023

The following is a guest article by Pete Heydt, President at Patient Pay Ninety-five percent of healthcare leaders expect outpatient volumes to increase, with many anticipating increases of 10% or more this year, a recent survey found.

RCM

RCM Patient Experience Medical Billing Medicare

Bonus Features – November 5, 2023 – Only 24% of healthcare organizations have successfully disrupted ransomware attacks, 83% of healthcare leaders say AI is or will be an essential skill, plus 20 more

Healthcare IT Today

NOVEMBER 5, 2023

Studies and Reports So far in 2023, only 24% of healthcare organizations were able to disrupt a ransomware attack before attackers encrypted their data , according to a Sophos survey. The company also released a customer survey indicating that 75% of providers believe AI will play a prevalent role in care delivery.

RCM

RCM Medicare EHR FHIR

Bonus Features – March 24, 2024 – Data infrastructure investments have 124% ROI, 85% of healthcare workers believe AI can improve the patient experience, plus 28 more stories

Healthcare IT Today

MARCH 24, 2024

News and Surveys More than half (52%) of provider organizations use entirely manual workflows for credentialing and network management , according to a survey from Medallion. A survey from Hakkoda found 92% of healthcare organizations need to modernize their data infrastructure.

Patient Experience

Patient Experience RCM Healthcare IT Medicare

Bonus Features – November 12, 2023 – 93% of clinicians use RPM in cardiac care rehab, telehealth flexibilities remain in place until the end of 2024, plus 25 more stories

Healthcare IT Today

NOVEMBER 12, 2023

News The 2024 Medicare Physician Fee Schedule continues many telehealth flexibilities first adopted during the public health emergency, such as an expanded scope of originating sites an expanded definition of qualified practitioners. Sales Ohio-based Fisher-Titus chose RevSpring for RCM and payment processing.

Telehealth

Telehealth RCM Public Health EHR

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

MAY 7, 2023

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. EHR and RCM vendor for therapy and rehab practices Raintree released Raintree Payments.

RCM

RCM EHR Mental health BioTech

Bonus Features – July 23, 2023 – Number of people impacted by data breaches up 56% compared to last year, CMS keeps temporary telehealth expansion in 2024 Medicare fee schedule, and more

Healthcare IT Today

JULY 23, 2023

News and Studies The 2024 Medicare Physician Fee Schedule Proposed Rule from CMS would continue many of the public health emergency telehealth flexibilities, such as an expanded definition of telehealth practitioners, continued payments to rural health centers and FQHCs, and the expansion of originating sites.

Medicare

Medicare Telehealth Telemedicine RCM

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

DECEMBER 4, 2022

A DrFirst survey of more than 1,000 Americans concluded that one-third of Americans have taken anti-anxiety medications to manage family stress during the holiday season. Politics, family drama, and love life are the topics of conversation that are most likely to increase anxiety, the survey said.

RCM

RCM Healthcare IT Leadership EHR

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

NOVEMBER 13, 2022

A Qualtrics survey found that cost concerns have replaced COVID-19 as the top reason for deferring healthcare services. A survey from Podimetrics, which provides clinical and patient support services for complex diabetes care, revealed that 53% of patients with Type 2 diabetes are afraid they will die from complications of the disease.

EHR

EHR RCM Healthcare IT Mental health

Bonus Features – November 19, 2023 – Critical access hospitals 16% less likely to participate in data exchange, two-thirds of orgs plan to increase AI spending by 25% in the next three years, plus 36 more stories

Healthcare IT Today

NOVEMBER 19, 2023

More than one-third (36%) of organizations have at least partly implemented AI solutions , according to a survey from Healthcare IT Leaders, and another 25% have started AI pilots. More than half (56%) of American adults are worried about getting sick when they go to the hospital or a medical clinic, according to a Kinnos survey.

eCare

eCare Healthcare IT Interoperability RCM

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

AUGUST 6, 2023

Nearly half (46%) of providers already have or plan to deploy large language models in their call centers , according to a survey from Hyro. According to an AdvancedMD survey of providers, 84% of patients are reporting stress levels that are higher today than they were in 2020.

EHR

EHR Interoperability RCM HIE

Bonus Features, HLTH Edition – October 11, 2023 – Announcements from Best Buy, General Catalyst, Google Cloud, Microsoft, Walgreens, and more

Healthcare IT Today

OCTOBER 11, 2023

Studies Almost half (48%) of American women don’t have a PCP or get regular preventive care , according to a survey from Tia Health. More than 60% of consumers said the ability to schedule appointments online is very important when choosing a new provider , according to a Kyruus survey.

Life Science

Life Science EHR BioTech RCM

The Role of RCM in Health Equity

Healthcare IT Today

NOVEMBER 25, 2022

Involving revenue cycle management (RCM) is necessary for any comprehensive SDoH/health equity strategy. Reimbursement is also closely linked to quality because of the use of outcome measures by the Centers for Medicare and Medicaid Services (CMS) to determine a hospital’s overall quality, including: Mortality. Safety of care.

RCM

RCM Medicare Interoperability Patient Experience

Weekender 4/26/19

HIStalk Weekender

APRIL 26, 2019

Bain Capital hires financial advisors to help it assess the potential sale of RCM vendor Waystar. HHS announces CMS Primary Cares, two value-based care payment models launching in 2020 that it says will cover at least 25% of Medicare beneficiaries and providers. Athenahealth lays off 200 employees.

RCM

RCM Primary Care EHR Nursing

Bonus Features – October 8, 2023 – 67% of Women are Having Issues with Getting a Clear Diagnosis – of which 25% are Still Waiting for Diagnosis or Gave up Entirely, Health Gorilla has 17 Healthcare Organizations Commit to Joining their QHIN, and More!

Healthcare IT Today

OCTOBER 8, 2023

Claims on the community care program, Connect for Life (CFL), from Wider Circle preventing 8 ED visits per 1,000 members, saving $103 Per Engaged Member Per Month net savings for Medicare Advantage members, and more have been validated in a recent review from Milliman.

eCare

eCare Primary Care RCM Patient Experience

HIStalk Interviews Gabriel Orthous, CIO, Central Georgia Health Network

HIStalk Interviews

JUNE 12, 2019

Usually those are part of a system of trying to identify CPT codes or ICD codes in order to get paid through a billing RCM model. But when you get into Medicare, ACO, or frailty, for example … frail patients who come in may be prescribed seven medications in seven points of care. That’s just one component. It was beautiful.

EMR

EMR RCM HIE Interoperability

Connected Health Pulse

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

Bonus Features – November 5, 2023 – Only 24% of healthcare organizations have successfully disrupted ransomware attacks, 83% of healthcare leaders say AI is or will be an essential skill, plus 20 more

Trending Sources

Bonus Features – March 24, 2024 – Data infrastructure investments have 124% ROI, 85% of healthcare workers believe AI can improve the patient experience, plus 28 more stories

Bonus Features – November 12, 2023 – 93% of clinicians use RPM in cardiac care rehab, telehealth flexibilities remain in place until the end of 2024, plus 25 more stories

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

Bonus Features – July 23, 2023 – Number of people impacted by data breaches up 56% compared to last year, CMS keeps temporary telehealth expansion in 2024 Medicare fee schedule, and more

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

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

Bonus Features – November 19, 2023 – Critical access hospitals 16% less likely to participate in data exchange, two-thirds of orgs plan to increase AI spending by 25% in the next three years, plus 36 more stories

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

Bonus Features, HLTH Edition – October 11, 2023 – Announcements from Best Buy, General Catalyst, Google Cloud, Microsoft, Walgreens, and more

The Role of RCM in Health Equity

Weekender 4/26/19

Bonus Features – October 8, 2023 – 67% of Women are Having Issues with Getting a Clear Diagnosis – of which 25% are Still Waiting for Diagnosis or Gave up Entirely, Health Gorilla has 17 Healthcare Organizations Commit to Joining their QHIN, and More!

HIStalk Interviews Gabriel Orthous, CIO, Central Georgia Health Network

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