Medical Revenue Cycle in 9 Steps

The medical revenue cycle is the process of managing a patient’s account from the beginning, when they are pre-screened for financial coverage and their account is created, to the final…

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Value-Based Reimbursement Transition

Value-Based Reimbursement-laying the groundwork for a transition to it is crucial.  As healthcare spending continues to rise, the Centers for Medicare & Medicaid Services (CMS) is looking for ways to…

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Value-Based Reimbursement Models

There’s a reason the healthcare industry is shifting toward value-based reimbursement models and away from volume-based care. Value-based care reimburses healthcare providers based on the quality of care they provide,…

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CMS Value-Based Payment Goals

In April of 2019, the Centers for Medicare and Medicaid Services (CMS) announced it is rolling out a new set of CMS value-based payment goals. It’s called the CMS Primary…

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Pay for Performance Reimbursement

In this post, we explain “pay for performance reimbursement”, what it is, and how it measures quality of care. Then we’ll explore some working examples. The concept of this method…

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Outcome-Based Reimbursement

A lot is said these days about Outcome-Based Reimbursement in healthcare. But what exactly is that, and how does it work? Let’s take a look. Five years ago, most of…

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Healthcare Revenue Cycle Process

The healthcare revenue cycle process is a non-organic process – non-organic because steps cannot be reversed, skipped or circumvented to save time or collect money faster. Missing or skipping a…

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Value Based Care Reimbursement

A recent Black Book survey found that hospitals and other providers are gearing up to outsource key functions, including a move to outsource revenue cycle management to third-party vendors. Medical…

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