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CMS has not moved decisively in developing bundled-payment, episode-of-care payment models, leaving states and health plans to lead the way with innovative approaches.

Patt Vilt, vice president of finance for Riverside Medical Center, details steps you can take to ensure a clean 340B audit.

What are the big coding changes for the FY18 inpatient prospective payment system?

The pillars of strong revenue cycle operations are creating meaningful work, developing knowledge, removing obstacles, and advancing analytical capabilities. Revenue cycle leaders can achieve these goals by integrating payer and claims data and applying algorithms to optimize staff efforts.

Since initiating its remote worker program, Cleveland Clinic’s revenue cycle department has experienced a 13 percent increase in productivity.

Payer deductions continue to increase, with government payers far exceeding private and managed care plans. 

Hospitals and health systems should look beyond dashboards to gather they data they need to make strategic decisions.

With regulations set forth by the Medicare Access and CHIP Reauthorization Act of 2015 in full swing, physician organizations should prepare for change.

The key questions for any given deal will depend on why the organization that is pursuing the transaction is doing so, what it hopes to achieve, and what information it requires to make well informed decisions about the path forward.

WellSpan Health, a $2 billion integrated, physician led health system headquartered in York, Pa., uses a variety of organizational structures to solve the “participatory governance challenge” for their employed physicians. WellSpan’s genesis as an integrated delivery system began in 1993 when a