Revenue Yield and Commercial Payments
Do higher paid hospitals share certain characteristics? In this Newsletter Self-Study Lesson, participants will read a recent study from HFMA's Strategic Financial Planning newsletter that identifies common characteristics of high-payment and low-payment hospitals.
A second Strategic Financial Planning article details the importance of reviewing, testing, and monitoring commercial contract terms for maximizing revenues. Plus, participants will learn some common denial traps in commercial contracts.
After this Self-Study Lesson You’ll Be Able To:
- Identify common characteristics of high-payment and low-payment hospitals.
- Recognize value-oriented strategies for thriving in the changing marketplace.
- Distinguish between prices, charges, and costs.
- Identify contract terms or language that can cause confusion or lead to unanticipated denials.
- Recognize the importance of testing proposed contract term changes.
- Identify the best approach to annual external audits of commercial contracts.
Newsletter subscribers: Free
Get more with a subscription to any of HFMA's three newsletters: Revenue Cycle Strategist, Healthcare Cost Containment, and Strategic Financial Planning. A subscription includes print issues, online content, and access to self-study articles. Learn more—and subscribe.
Self-Study Lesson Information
- CPE credits: N/A; HFMA newsletter self-study lessons are not eligible for CPE credits.
- Designed for: Healthcare finance leaders interested in improving revenue yield from commercial contracts and developing strategies to counteract declining payments
- Level: Intermediate
- Prerequisite knowledge: Basic understanding of managed care and commercial contracts
- Instructional method: Self-study
- NASBA field of study: Management Advisory Services
- Course availability: This newsletter self-study lesson is available for purchase through Oct. 31, 2015. Once purchased, you’ll have one year to finish your lesson.