New & Notable
Hospitals get $2.9B increase in Medicare inpatient pay
HHS finalized a rule that will increase Medicare inpatient payments by 2.9% in FY 2025, among other new payment policies.
Private equity hospitals better off than non-investment hospitals
Hospitals acquired by private equity firms tend to be more financially stable compared to comparable non-private equity hospitals, according to a new study.
How to Level Up the Revenue Cycle Management Game Plan
Here are four strategies to optimize revenue cycle management for maximized revenue collection.
Providers offer 4 key payment reforms to support practices
AMA and other provider trade groups have urged Congressional leaders to reform physician payment in light of recent Medicare cuts.
Insights
Insights is the research division of Xtelligent Healthcare Media. Our work aims to leverage Xtelligent’s diverse readership of healthcare professionals across various sectors of the industry to understand real-world challenges and identify effective solutions.
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Healthcare Strategies: A Podcast
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A podcast for healthcare professionals seeking solutions to today's and tomorrow's top challenges. Hosted by the editors of Xtelligent Healthcare Media, this podcast series focuses on real-world use cases that are leading to tangible improvements in care quality, outcomes, and cost.
Guests from leading provider, payer, government, and other organizations share their approaches to transforming healthcare in a meaningful and lasting way.
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Latest News
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Empowering Patients Through Early Financial Discussions
Providers should discuss financial responsibility and payment options often and early to empower patients through the financial experience of healthcare.
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AMA updates CPT code set for avian influenza vaccines
The update to the CPT code set includes codes for vaccines protecting patients from the H5N8 strain of avian influenza.
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CY 2025 Physician Fee Schedule rule seeks a 2.8% payment cut
CMS proposed the CY 2025 Medicare Physician Fee Schedule rule to update payment policies and expand access to behavioral health and value-based care.
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CMS proposes CY 2025 OPPS, ASC payment system rule
The CY 2025 OPPS and ASC payment system rule looks to grow Medicare payments to facilities, health equity and access to behavioral health.
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DoJ catches over $2.7B in healthcare fraud schemes
The Department of Justice has charged nearly 200 people, including doctors, in over $2.7B in healthcare fraud schemes.
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CMS proposes CY 2025 ESRD Prospective Payment System rule
The CY 2025 ESRD Prospective Payment System rule would increase Medicare payments to facilities by 2.2%, among other policies.
Features
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Exploring the role of medical claim clearinghouses
Medical claim clearinghouses manage claim submissions for providers, increasing efficiency, reducing costs and improving payment accuracy.
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Unpacking the mid-revenue cycle, strategies for success
The mid-revenue cycle includes coding, CDI, and compliance, making its processes vital to a provider organization’s success.
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How Robotic Process Automation Optimizes Revenue Cycle Management
Robotic process automation (RPA) saves practices money and time by automating manual, repetitive tasks within revenue cycle management.
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Breaking Down the Back-End Revenue Cycle, Key Best Practices
When a patient encounter ends, the back end of the revenue cycle gets busy creating claims and managing A/R to optimize revenue collection and integrity.