Tactical Revenue CycleConsiderations to passage of the Patient Protection and Affordability Care Act (PPACA) |
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With the passage of the Patient Protection and Affordable Care Act (PPACA) we are beginning to enter a period of unparalleled change and uncertainty. Changes outlined within PPACA will have significant impact on revenue cycle processes. Organizations who will weather this unprecedented change will strive to make what currently works “work better” as tools, processes and methodologies are developed to adapt to the changes in the healthcare environment when the PPACA is implemented.
This paper focuses on tactical revenue cycle considerations to plan and prepare for 2014, when many of the reform mandates impacting the revenue cycle will take effect. Areas and processes discussed include:
- Patient access - New enrollees/Medicaid expansion/Self-pay population
- Not for profit hospitals - New accountability requirements
- Disclosure of standard charges
- Managed care pricing/Contracting - Health insurance exchanges
- Bundled payments/Accountable care organizations
- Other initiatives - ICD-10, HITECH and Administration Simplification
Tactical Revenue Cycle: Considerations to passage of the Patient Protection and Affordability Care Act (PPACA)
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