Fear of the unknown is keeping many medical practices from joining Accountable Care Organizations (ACO) or Clinically Integrated Networks (CIN), or the IPA that is associated with them. All of these groups are actively trying to take on new types of contracts with payers, commercial and Medicare/Medicaid. They hear things like value-based payments, capitation, and…

Guest Editorial A recent survey of office-based physicians looked into the state of revenue cycle management (RCM) across various specialties, staff and locations. The RCM Survey Report called “What’s Happening Behind the Billing Office Door” evaluated several high-level metrics including first-pass clean-claim rate, net collection percentages, average days in A/R, and outstanding collections for 120+ days. The…