Cover Story

Feb._hfm_cover

Accelerating the ROI of EHRs

Healthcare leaders should rethink their organizations' strategies for managing change associated with EHR implementations to gain greater value from these systems.

By Pam Arlotto

 

 


From the President's Desk

From the President February sm
Expanding on thoughts in his February 2014 column in hfm magazine, HFMA's President and CEO Joe Fifer discusses the launch of the medical debt account resolution best practices, and the corresponding benefits to patients, healthcare organizations, and the account resolution industry.

 


Features

 

Digging Deeper into Data

Progressive health systems rely on data analysts to improve clinical and financial performance and to help prepare for value-based care and population health management.

By Laura Ramos Hegwer

 

The Value of Direct Messaging

The potential of direct secure messaging (DSM) to reduce readmissions and costs could make it a powerful tool in an era of reform.

By Karen Wagner

 

Making a Move to an ACO

Enhanced workflow and technology enabled one physician organization to reach the next level of care coordination as an ACO.

By Gregory Spencer

 

Preparing for the True Risks of ICD-10

Too prepare for ICD-10, a healthcare  organization should perform a self-analysis that includes modeling actual claims  data to assess the potential risk posed by the new coding system.

By Jackie Hinderks, Jessica Vagle, Jill Wolf

 

Addressing Hidden Financial Risk

Hospitals require effective strategies to identify and respond to claim denials. Using automation to alert revenue cycle staff of denials and manage underpayments and the appeal process can help.

By Jan Kruger, Valerie Barckhoff

 

Best Practices for Resolution of Medical Accounts: An Overview

By adopting a consistent approach to patient billing and payment collections, providers can improve the payment experience for patients and resolve outstanding medical accounts fairly and equitably.

By Karen Thomas

 


Focus Areas

 

Technology 

Overcoming Barriers to Physician Adoption of EHRs

Because success in implementing an EHR will depend largely on physicians' willingness to adopt the technology, hospitals first evaluate physicians' level of resistance to the initiative.

By Stuart M. Hochron, Paul Goldberg

Web Extra: Assessing Physician Receptivity to Adopting the EHR: Survey Areas of Focus 

Web Extra: New Tools for Physician Engagement 

Payment

8 Critical Steps for a 2-Midnight Compliance

To prepare for the two-midnight rule, organizations should embed questions from the optional certification form within  electronic orders, educate physicians, and empower utilization review teams.

By Day Egusquiza

 

Physician Relations

Accountable Primary Care: A Critical Investment

Hospitals and health systems should invest in primary care physicians to secure market share, develop compensation plans with a value-volume balance, and establish ways to actively manage referrals.

By Marc D. Halley, Pete Anderson

 


Columns

From the Chair

Measuring the Return on Information 

A new leading-edge tool can help providers establish the costs and benefits of investments in EHRs.

By Steven P. Rose, FHFMA, CPA

 

From the President

 Improving the  Medical Account Resolution Process 

Patients deserve to be treated fairly and consistently when it comes to payment.

By Joseph J. Fifer FHFMA, CPA

 

From the Editor

A Tip of the Hat

Many people deserve thanks for their part in making hfm, a highly valued and successful publication.

By Robert Fromberg, Editor-in-Chief

 

Eye on Washington

The March to Consumerism: The Evolution from Patient to Active Shopper Continues

As employees and health insurers increasingly couple high cost-sharing benefits designs with transparency tools, individuals will behave more like consumers and less like patients.

By Chad Mulvany

 

Insurance Trends

Understanding Self-Funding

A market shift toward self-funding could present new opportunities for healthcare organizations interested in market repositioning and gaining experience with population health management.

By Katherine M. Eyestone, Keith D. Moore, Dean C. Coddington

 

Healthcare Reform

Emerging Opportunities for ACO Reduction

The pursuit of cost savings among ACOs has sparked interest in improved management of high-cost and chronic diseases and of areas where delivery is at greatest risk of breaking down.

By Ken Perez

 

5 Ways To...

5 Ways to Avoid Noncompliance with Privacy Laws

Compliance with the HIPAA and the HITECH Act is critical to mitigate risks of privacy violations related to compromised protected health information.

By Rachel V. Rose

 

Data Trends

Deductions and Uncompensated Care

Continuing trends on deductions from hospital revenue and other data points indicate how challenging it will be for hospitals to achieve greater returns on revenue cycle initiatives.

By Phil Gaughan, David Koepke

Publication Date: Monday, February 03, 2014