Poll Shows a Majority of Americans Worry About Hackers

With constant news about data breaches compromising personal information, it is no wonder that Americans are increasingly squeamish about being hacked. A new poll found that a majority of American adults worry about hackers gaining access to their social security umber and credit card information.

Read More

Trends Impacting the ASC Landscape: 5 Things To Know

According to McKinsey research, nonhospital-provider segments are primed for growth and could account for almost 55 percent of projected profit pools by 2021; including everything from diagnostics, pre-, non-, and post-acute services, surgery centers, physicians and other healthcare professionals. In a rapidly changing healthcare landscape, it is critical to understand these trends; otherwise, surgery centers may be missing opportunities to optimize payment and enhance their bottom line.

Read More

The State of Medical Collections

Medical debt accounts for one of the largest markets in collections. While the Fair Debt Collection Practices Act regulates debt collection in general, the American Hospital Association (AHA) created a set of guidelines for member hospitals to follow regarding their billing and collection practices. Other state hospital associations have implemented their own guidelines as well. ACA members who collect medical debt should be aware of both state and federal guidelines for hospital billing and collections.

Read More

Texas Enacts Healthcare Measures Impacting Credit Reporting and Surprise Medical Billing

The state of Texas recently enacted new healthcare measures related to medical billing and credit reporting of out-of-network care. There are some implications regarding the billing of consumers for out-of-network care as well as the reporting of debts related to out-of-network care. Read more about it after the jump.

Read More

Consumerism in Healthcare: What ASC’s Need to Know

The ASC market is expected to grow at 4 percent between 2017 and 2027, with multispecialty ASC's expected to dominate over the next decade. How can the ASC world adapt to the growing trend of consumerism in healthcare and thrive?

Read More

JAMA Study Finds 36% of Virginia Hospitals Garnishing Wages Over Unpaid Bills

Not every hospital sues over unpaid bills, but a few sue a lot according to an article published by NPR. While hospitals say lawsuits are rare, they concede that they cannot stay afloat without getting paid for services.

Read More

News & Notes:
August 2019

A collection of news and notes from in and around the world of healthcare. This month: "Pelosi Expects Drug Pricing Bill in September", as well as "Senate Health Committee Continues to Work on Lower Healthcare Costs."

Read More

Senate Health Committee Votes to Reduce Health Care Costs

Before the July 4th holiday, the Senate Health, Education, and Pensions Committee approved legislation that ends surprise billing, creates more transparency and increases competition to reduce prescription drug costs. Read more about this story by clicking here.

Read More

Unforeseen Out-of-Network Charges Cause Concern Amongst Consumers

1 in 6 Americans in 2017 were surprised by a medical bill they received after treatment in a hospital despite having insurance. Most of them came from doctors offering treatment at the hospital, even when the patients chose an in-network hospital.

Read More

Three Tips to Improve Your Revenue Cycle in
2019

Healthcare providers today face increasing cost pressures to grow their revenues-which can lead to diminished operating results. A recent survey revealed that operating loss per physician has increased from 10% to 17.5% in 2017. Here are 3 tips for improving your revenue cycle.

Read More

Balance it Out

Working with consumers to explain and help resolve medical bills in collections is a complex process for accounts receivable management companies and their healthcare provider clients. State legislatures have been working on tackling the issue of balance billing to prevent unexpected charges from reaching the consumer and a bipartisan debate continues.

Read More

What Keeps You Up at Night?

The cost of healthcare in the US is a significant source of apprehension and fear for millions of Americans, according to a new national survey. With over $3.5 trillion spent in 2017 alone, the national poll indicates this financial burden causes a multitude of worries and anxieties for a large section of Americans.

Read More

Data Security Issues in Offshore Revenue Cycle Management 

Offshoring revenue cycle management has been an increasing phenomenon in the healthcare landscape, however, seemingly apparent economic advantages have been replaced by controversies and debate against offshore outsourcing. Read more after the jump.

Read More

Million-Dollar Lawsuit Results from Insurer Sending Payment to Patients-Not Doctors

In a report released by CNN, a woman received nearly $375,000 from her insurance company over several months for treatment she received at a California rehabilitation facility. Those allegations are part of a lawsuit winding its way through federal court that accuses Anthem and its Blue Cross entities of paying patients directly in an effort to put pressure on health care providers to join their network and to accept lower payments. Read more about the suit after the jump.

Read More

How to Avoid Revenue Cycle Outsourcing Mistakes

In today's evolving healthcare landscape, healthcare providers are under intense pressure to reduce spending while improving care quality and revenue cycle outsourcing has the potential to significantly decrease costs and increase efficiency. However, there can be pitfalls if providers don't pick the right partners. What's the best way to find the right vendor/partner?

Read More

HHS Payment Model Designed to Meet Beneficiaries’ Emergency Needs

Supporting ambulance triage options aims to allow beneficiaries to receive care at the right time and place. The new model known as the Emergency Triage Treat and Transport will make it possible for participating ambulance suppliers and providers to partner with healthcare practitioners to deliver treatment in place. Find out more after the jump.

Read More

3 Tips for Working with RCM Partners to Handle Self-Pay Patients

Patient balances present one of the most significant challenges in healthcare especially for surgery centers. With ever-rising costs, ASC's see an increase in the number of patients with high deductible insurance plans. Studies show patient obligations have increased by almost 30 percent since 2015 and many are finding it difficult to pay off their medical bills. How should my center approach this problem?

Read More

How Insurance Coverage Impacts Consumers’ Ability to Pay

New data on health insurance in the U.S. reflects quality of coverage and the impact of coverage levels on consumers' ability to pay medical bills and access care. The survey finds that consumers who are underinsured are more likely to have challenges paying their medical bills or simply avoid medical care due to the expense.

Read More

Senator Chuck Grassley to IRS: How Many Hospitals Comply with 501(r) Requirements?

In an ongoing effort to evaluate nonprofit hospitals required to follow Section 501 (r), Senator Chuck Grassley has requested data on the number of hospitals in compliance with this rule pertaining to charity care. Get more information after the jump.

Read More

Patients Prefer Payment Plans for Medical Bills

As out-of-pocket healthcare costs continue to increase, more patients prefer payment plans to manage their medical bills. Find out other insights gathered by this survey of patients taken in the previous year.

Read More

Why a Patient Friendly Billing and Payment System Matters

It may pay to consider patient consumerism when dealing with patients. Healthcare is a major expense for patients, so it has become important for clinics and practices to demonstrate that their care is as much about the patient's financial health as their physical health.

Read More

How to Prevent Revenue Leakage in Your ASC

The healthcare reimbursement landscape has changed dramatically in the past few years. Just five years ago healthcare providers could get 90% of their revenue from government payers and commercial insurance companies; but today patients payments make up as much as 33 % of provider revenue. How will this affect your ASC?

Read More

Employer-Based Insurance Premiums Create Growing Burden for Families

An ever growing number of consumers are doling out more of their paychecks for healthcare premium contributions through their employer insurance plans. The cost of employer health insurance premiums and deductibles continues to outpace growth in wages which is concerning because it can put coverage and healthcare of of reach for the people who need it most. Click to read more.

Read More

revenue cycle

3 Strategies for a Patient-Centered Revenue Cycle in 2019

As patient financial responsibility grows, the patient experience becomes very important in your revenue cycle. Here are three strategies you might want to consider in aligning your healthcare revenue cycle with the needs of your patients. Click to read more.

Read More