Medicare Shared Savings Program A New Approach for Cost Calculations
An announcement released on June 6 by the Centers for Medicare and Medicaid Services revealed the Medicare Shared Savings Program is going to gradually introduce a new approach for cost calculations beginning January 1, 2017. The new cost calculations will... Read More →
MACRA Implementation: Are You Prepared for It?
The implementation of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) permanently replaced Medicare’s Sustainable Growth Rate (SGR) formula. This law changes Medicare payment reimbursements, moving away from a volume-based system to better align with a quality-based system.... Read More →
Prior Authorization: An Inefficient Nightmare or Essential Burden?
In the healthcare industry, everyone recognizes that prior authorization (PA), while required by insurance companies, has become an inefficient nightmare. Championed as a cost-savings feature, its intention was to prevent improper use of drugs when there may be a better... Read More →
The Government Accountability Office (GAO) Report on Medicare’s Efforts to Curb Backlog of Appeals
The GAO Reports Medicare’s Efforts to Curb Backlog of Appeals Not Sufficient! In spite of Medicare’s attempts to decrease the quantity of Medicare appeals, numerous health care providers and patients continue to file denial appeals, causing a rapid increase in the... Read More →
Efforts to Minimize Medicare Backlog not Sufficient
In spite of Medicare’s attempts to decrease the quantity of Medicare appeals, numerous health care providers and patients continue to file denial appeals, causing a rapid increase in the system, which has created the resulting backlog. The Government Accountability Office... Read More →
A shift in healthcare – Seventy-four Percent report increase in Patient Financial Responsibility
In a report by InstaMed, regarding healthcare payment trends in 2015, it found that a staggering 74 percent of healthcare providers reported an increase in patient responsibility. It discovered that 2 out of 3 consumers prefer to pay their premiums... Read More →
Small Physician Practices do have a Future
With the recent changes regarding reimbursements to physicians for medical treatment of patients, moving away from a fee-for-service payment system to a value-based payment system, many are left speculating what this means for smaller physician practices. Will there be room... Read More →
Only Three percent of hospitals meet CMS target for Value-Based Care
A survey conducted by Health Catalyst discovered that only 3 percent of hospitals meet the target, set by the Centers for Medicare and Medicaid Services (CMS), for value-based care. Additionally, a mere 23 percent anticipate reaching the target by 2019,... Read More →
Avoiding denials: 5 ways to improve claims reimbursement
Claim denials account for a staggering amount of lost revenue annually for most healthcare providers. “Industry experts estimate that 25-30% of all healthcare claims are denied or rejected,” says Healthcare Reports, “with a typical loss of 2-6% of the facility’s... Read More →
Rev-Ignition partners with Patient Pay
We’re excited to announce that we will move from a paper-based billing process to a paperless one from PatientPay, the leader in patient healthcare payment solutions. “The decision to eliminate paper from the patient billing process for our clients nationally... Read More →