6 Essential Elements for Physician Revenue Cycle Management
Physician billing operations should not be an afterthought for hospitals and health systems acquiring a physician practice.
By Benjamin C. Colton, David A. Wofford
Using Data Analytics to Identify Revenue at Risk
Predictive and comparative analytics have the potential to drive improved value by pinpointing areas where proactive steps can better support optimal revenue cycle performance—as well as the organization’s mission.
By Courtney Thayer, Jerry Bruno, Mary Beth Remorenko
Strategies for Successful Revenue Cycle Outsourcing
Third-party service providers have long performed certain aspects of revenue cycle management, but some hospitals and health systems are now outsourcing the entire process.
By Duane A. Lisowski, Brian Sanderson
Doing Well By Doing Good: Patient Financial Advocacy in Action
By reaching out to uninsured and underinsured patients across the continuum of care, UPMC has increased point-of-service collections, increased financial assistance referrals, obtained medical assistance for many patients, and reduced bad debt.
By April Langford
Improving Pharmacy Revenue Integrity
Billings Clinic worked to identify disconnects between medication purchases, charges, and payment—and has significantly improved coding efficiency and quality.
By Jennifer J. Carmody, Kyle Townsend, Kathy Schwartz
Creating a Positive Culture for Collections
By helping patient financial services personnel feel comfortable asking for money from patients at the time of service, OhioHealth has captured millions of dollars in point- of-service collections—and empowered staff to more effectively help patients resolve their accounts.
By Jane A. Berkebile
Internal Audits Can Safeguard Hospital Revenue
Hospitals can improve their revenue capture by implementing an automated internal audit function that identifies the root causes of denials, thereby helping to prevent the denials from occurring in the first place.
By Barbara Allen
Keeping Step with IRS Guidance on Requirements for Tax-Exempt Hospitals
The IRS issued proposed rules in April regarding community health needs assessments and other requirements that section 501(c)(3) hospitals must meet to maintain tax-exempt status.
By Richard A. Speizman, Alexandra O. Mitchell
From Medical Home to ACO: A Physician Group's Journey
The Medical Clinic of North Texas launched a population health initiative in 2010 that has involved working with self-insured companies to manage the health of their employee populations.
By Jay Reddy
Web Extra:Read this web extra to "From Medical Home to ACO: A Physician Group’s Journey" by Jay Reddy and Karen Kennedy
Understanding the Business of Employed Physician Practices
Health system leaders should understand issues related to finance, compliance, human resources, quality, and safety in their employed physician practices to better support the success of these practices.
By Kathleen D. Sanford
From the Chair
Better Communication Means a Better Revenue Cycle
Creating a positive patient financial experience is vitally important in the changing healthcare landscape, not only for patient satisfaction, but also for an effective revenue cycle.
By Steven P. Rose, FHFMA, CPA
From the President
Finding the Right Balance
The private sector seems to be leading the way in reforms aimed at promoting coordinated care—but it’s still a somewhat bumpy road for providers.
By Joseph J. Fifer, FHFMA, CPA
From the Editor
Confronting the Complex
Health care is notoriously complex, and some areas of health care are more complex than others.
By Robert Fromberg, Editor-in-Chief
Eye on Washington
The "Readiness" Debate
The report issued by the Government Accountability Office in late June that the federal exchanges are behind schedule must have caused substantial disappointment among Affordable Care Act supporters.
By Gail R. Wilensky
Achieving Value with Physician Employment
Without the participation of physicians, a higher-value healthcare system cannot be achieved.
By James H. Landman
Why Pricing Transparency Will Not Reduce Costs
It is critical to understand what healthcare prices really mean, how consumers respond to price differences, and whether that response might result in cost savings in the long run.
By William B. Weeks
Thinking Flexibly About Fixed Income
Large allocations of fixed-income assets in hospitals necessitates a well-articulated fixed income strategy and a good understanding of the potential risks.
By William F. Jarvis
5 Ways To...
5 Ways to Drive Value
During ANI: The 2013 HFMA National Institute, healthcare thought leaders offered several strategies for driving value in hospitals and health systems.
By Jeni Williams
Member Spotlight: Mind Games
Publication Date: Sunday, September 01, 2013