There’s good news on the horizon for Medicare providers. Providers who qualify for Medicare Access and CHIP Reauthorization Act (MACRA) may have the opportunity to receive an incentive in the form of greater Medicare reimbursements if they are able to demonstrate high-quality care for patients.
Every year, the American health care system loses $150 billion to missed appointments. According to Health Management Technology, this equates to approximately $200 in lost revenue per patient no-show.
The concept of Value-Based Healthcare (VBC) has only recently entered America’s larger awareness and, for patients, at least, it seems to be delivering improvements. According to research by Humana, total healthcare costs for patients on VBC plans are 15 percent lower than for patients on a fee-for-service (FFS) model. Furthermore, patients on VBC plans were more likely to have access to preventative care.
A recent survey found that EHRs tailored to function in specialty settings continue to rank highest in specialty physician satisfaction. The study also found that EHRs that include robust coding tools, as well as tight integration with practice management solutions and billing and collections services will most likely continue to see the highest satisfaction rates in 2018.
Revenue cycle performance is arguably the most important indicator of a specialty practice's health. This has become apparent as more healthcare providers invest in new RCM resources. Case in point, the market for RCM solutions and services is projected to exceed $90 billion by 2022, up from $51 billion in 2017, according to Research and Markets.
A proficient medical billing collection process can drastically reduce time between services offered and payment. Conversely, though, inefficiencies in the collection process can increase overhead as the front desk attempts to chase down delayed payments, retroactively encourage customers to cover the cost of rejected claims, or process reimbursements to patients as a result of over collecting.
Financial viability is one thing, but specialty practices that efficiently utilize front-office resources can do more than just maintain financial health: they can thrive. But first, they need to overcome some of the core billing and collection challenges inhibiting cash flow in today's healthcare climate.