New & Notable
How do FQHCs affect accountable care organizations?
FQHCs help accountable care organizations reach a more diverse patient population and potentially enable better patient access to preventive care.
For-profit hospices linked to poor care quality
Researchers discovered that hospices owned by private equity firms and publicly traded companies were linked to poorer care quality.
Back surgeries: Low-value care swells Medicare spending
According to new research from the Lown Institute, unnecessary back surgeries led to an estimated $2 billion in Medicare spending over a three-year period.
Physician compensation totals 84% of medical group expenses
Medical groups might rethink operations in light of new Kaufman Hall data about physician compensation and overall employee investment/subsidy.
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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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.
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Latest News
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CMS highlights maternal care in CY 2025 OPPS, ASC final rule
The CMS CY 2025 OPPS, ASC final rule aims to reduce maternal mortality, remove barriers to care for formerly incarcerated individuals and enhance health equity.
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CMS finalizes CY 2025 Medicare physician fee schedule rule
CMS issued the CY 2025 Medicare physician fee schedule final rule, which included updates to payment policies and average payment rate reductions.
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CMS, CFPB take on improper medical collections in Medicare
CMS and CFPB have issued a joint statement outlining prohibitions against medical debt collection for Medicare members exempt from cost-sharing.
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Medicare Shared Savings Program saves $2.1 billion in 2023
Accountable care organizations in the Medicare Shared Savings Program earned performance payments totaling $3.1 billion in 2023, the highest since the program's establishment.
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Has hospital price transparency affected healthcare costs?
Data indicates that hospital price transparency laws have caused healthcare costs to level off.
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90% of medical coding staff worry about upcoding, fraud
Healthcare fraud, such as upcoding and unbundling, has medical coding and billing professionals worried about the industry.
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.