Medical billing and collections
Medical billing and collections ensure financial stability. Patient collections bridge gaps, securing payments directly from consumers. This financial stability enables providers to maintain high-quality care, invest in IT and sustain operations, ultimately enhancing patient outcomes and the overall delivery of healthcare services.
Top Stories
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14 Apr 2026
Judge dismisses No Surprises Act lawsuit against HaloMD
A California federal court threw out Elevance Health's lawsuit against HaloMD, alleging the organization has gamed the No Surprises Act's IDR process for profit. Continue Reading
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09 Apr 2026
Cedar goes beyond propensity to pay to bolster patient billing
The healthcare financial engagement company is expanding AI capabilities to deliver more personalized patient billing experiences at scale. Continue Reading
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24 Sep 2018
States Look to Streamline Payer Enrollment, Cut Provider Paperwork
Arizona and Texas have implemented new rules to make it easier and faster for healthcare organizations to complete the complex payer enrollment process. Continue Reading
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17 Sep 2018
3 Patient Collections Best Practices to Boost the Bottom Line
Developing a proactive strategy, implementing payment plans, and tracking performance are patient collections best practices that help providers obtain patient financial responsibility. Continue Reading
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17 Aug 2018
Data Analytics Add Value to Healthcare Supply Chain Management
Data analytics are offering innovative healthcare systems more visibility into supply chain management issues, allowing for reduced costs and greater efficiencies. Continue Reading
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20 Jul 2018
How Hospital Merger and Acquisition Activity is Changing Healthcare
As value-based care takes over, hospital merger and acquisition activity is on the rise. But will these deals add measurable value to the industry? Continue Reading
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13 Jul 2018
Beth Israel, Lahey Health Hospital Merger May Up Costs, MA AG Says
Other hospital merger news includes the potential acquisition of Lakeland Health by Spectrum Health, Sanford Health potentially expanding east, and the final acquisition of Kindred Healthcare. Continue Reading
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11 Jul 2018
Key Terms, Components of Payer Contracts Providers Should Know
Understanding the terms and provisions in a payer contract is key to maximizing reimbursement, preventing denials, and operating a smooth revenue cycle. Continue Reading
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11 Jun 2018
Would For-Profit Hospital Ownership Improve Quality, Costs in NY?
Promoting for-profit hospital ownership in New York could improve care quality and hospital spending, which are major issues in the state, an analysis showed. Continue Reading
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04 Jun 2018
4 Strategies for Providers to Improve Hospital Price Transparency
Identifying high-volume services, posting pricing information online, and educating staff on patient financial responsibility are top ways to boost hospital price transparency. Continue Reading
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20 Apr 2018
Maximizing Provider Revenue with Payer Contract Management
Improving payer contract management by analyzing terms and assessing payer performance can maximize revenue for healthcare providers. Continue Reading
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27 Mar 2018
Transforming the Hospital Laboratory into a Profit Center
Executives oftentimes view the hospital laboratory as a cost center, but RWJ University Hospital transformed its lab by implementing an analytics-driven outreach program. Continue Reading
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23 Mar 2018
Hospital Utilization Management Can Reduce Denials, Improve Care
Comprehensive hospital utilization management programs are key to preventing claim denials and delivering the right care at the right time. Continue Reading
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02 Jan 2018
4 Key Ways to Improve Healthcare Revenue Cycle Management
Merging front and backend functions, leveraging data, collecting payments upfront, and automating prior authorizations are key to healthcare revenue cycle management excellence. Continue Reading
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14 Dec 2017
Healthcare RCM, Medicare Reimbursement Dominate 2017 Stories
Our top 10 stories from 2017 included topics on the basics of healthcare revenue cycle management and Medicare reimbursement and strategies for improving both. Continue Reading
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21 Nov 2017
Hospitals Write Off 90% More Claim Denials, Costing up to $3.5M
Claim denials jumped to the top of hospital revenue cycle challenges in the past six years along with cash flow, patient collections, and cost to collect, a survey stated. Continue Reading
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03 Nov 2017
Overcoming Rural Hospital Revenue Cycle Management Challenges
Rural hospitals face many unique revenue cycle management challenges, including health IT and value-based care. Continue Reading
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05 Oct 2017
Physician Advisors Crucial to Navigating Reimbursement Rules
Physician advisors act as a bridge between providers and other staff to improve clinical documentation, utilization review, and claim denials management. Continue Reading
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31 Aug 2017
Key Strategies for Health Systems to Achieve Economies of Scale
Selecting the right scale model and motivating facilities to work together are methods for health systems to realize savings from economies of scale. Continue Reading
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21 Aug 2017
Exploring Key Components of the Healthcare Revenue Cycle
From registration to claims management, the healthcare revenue cycle contains several independent, but connected parts that are separated by front and back end. Continue Reading
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16 Aug 2017
Top 10 Enterprise Resource Planning (ERP) Vendors By Hospital Use
Enterprise resource planning (ERP) solutions help hospitals and health systems to gain a comprehensive view of their financial health. Continue Reading
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03 Aug 2017
Top 4 Rural Hospital Challenges with Revenue Cycle Management
Physician shortages and higher uninsured rates are among the top issues rural hospitals face with improving revenue cycle management strategies. Continue Reading
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14 Jul 2017
How Providers Can Detect, Prevent Healthcare Fraud and Abuse
Providers should implement comprehensive compliance programs and improve medical billing processes to detect and prevent healthcare fraud and abuse. Continue Reading
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13 Apr 2017
Leveraging Group Purchasing for Hospital Supply Chain Management
Adopting group purchasing for medical supplies can streamline hospital supply chain management processes and reduce healthcare costs. Continue Reading
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12 Apr 2017
TN Law Aims to Make Payer Contract Management More Predictable
A new Tennessee law aims to stabilize payer contract management for providers by stopping payers from unexpectedly changing claims reimbursement rates. Continue Reading
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02 Feb 2017
4 Key Ways to Boost Point-of-Service Patient Collections
Strengthening point-of-service patient collections strategies is key to realizing full payment for healthcare services and improving healthcare revenue cycle management. Continue Reading
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04 Jan 2017
3 Most Common Healthcare Supply Chain Management Challenges
The top healthcare supply chain management challenges for provider organizations include provider preference items, a lack of supply chain health IT, and invisible costs. Continue Reading
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02 Dec 2016
Top Revenue Cycle Management Vendors and How to Select One
Epic Systems and MEDITECH topped the revenue cycle management vendor list, but the market is expected to change in the next year. Continue Reading
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04 May 2016
5 Most Common Hospital Revenue Cycle Management Challenges
Challenges of a hospital’s revenue cycle management include billing errors, IT setbacks, untrained staff and a lack of a financial policy. Continue Reading
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22 Apr 2016
Top 5 Ways to Optimize Healthcare Revenue Cycle Management
Financially clearing patients is becoming an important part of revenue cycle management, as it helps hospitals and clinics avoid debt collection. Continue Reading
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22 Feb 2016
What Are the Front-End Steps of Revenue Cycle Management?
Here is a summary of the revenue cycle management process leading up to when a patient receives care and how bad data hinders claims management success. Continue Reading
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09 Feb 2016
Why Healthcare Needs Value-Based Supply Chain Management
The ongoing shift away from fee-for-service into the value-based reimbursement realm should intensify healthcare providers’ focus on supply chain management. Continue Reading
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28 Oct 2014
Examining the Basics of the Healthcare Revenue Cycle
Managing the healthcare revenue cycle is about more than just collecting bills. Organizations must master these basics if they wish to build a successful financial future. Continue Reading