A Closer Look at Self-Pay Segmentation
By David Franklin,Coy Ingram, Steve Levin
By scoring self-pay accounts and prioritizing or segmenting them using expected cash value and payment behavior, hospital business staff can more effectively work these accounts-and yield higher collections.
Special Section: Healthcare Reform
Weighing the Benefits and the Risks of ACOs
By Chad Mulvany
Accountable care organizations are viewed by many policy experts as among the best ways to control cost and improve quality over the long term.
The Medicare Bundled Payment Pilot Program: Participation Considerations
By Jonathan W. Pearce, John M. Harris
The Medicare bundled payment program included in healthcare reform legislation offers hospitals a unique chance to align relationships with key physician specialty groups.
Blunting the Negative Impact of Healthcare Reform
By Venson Wallin, Jr., Lynne Parrott, John Simon
Hospitals and health systems should take preventive measures now to prepare for lower payments and changes under reform.
Improving the Revenue Cycle by Taking the Patient's Perspective
By April Langford, Lyda Dye, Jessica Moresco, Donald C. Riefner
Using technology to improve scheduling, eligibility/insurance verification, and financial counseling processes to better serve patients led to greater patient satisfaction and increased revenue for UPMC.
Web Extra: UPMC eCommerce Technology
Inside the Audit and RAC Preparation Process at Norton Healthcare
By Janice Redden, Kate Banks
Hospitals can take four key steps to prepare for the challenges of Recovery Audit Contractor audit requests.
Measuring the True Return of Your Hospital's Revenue Cycle
By Jeffrey M. Nieman
Calculating the yield of revenue cycle initiatives can help hospitals better determine the value of these initiatives-and where to focus hospital resources.
Is Your Property Tax-Exempt Status at Risk?
By Tom Mason
Hospitals should proactively address property tax exemption issues in light of the adjustments to tax exemption requirements in the healthcare reform law and recent legal cases.
Medical Tourism: Game-Changing Innovation or Passing Fad?
By Howard R. Underwood, Harvey J. Makadon
Outbound medical tourism can mean not only a substantial lost of potential revenue for hospitals, but also potential risk for malpractice liability.
Cost and Quality
Nurse Staffing: Finding the Right Number and Mix
By Kathleen D. Sanford
Catholic Health Initiatives is trying to figure out the true costs associated with nursing-so that the health system can do a better job managing those costs.
Physician Practice and Hospital Revenue Cycle Drivers: What's the Difference?
By Shelby L. Boggs
Hospitals should understand the distinct differences in revenue cycle management between hospitals and physician practices and provide the appropriate support.
Web Extra: Crucial Policies for Physician Practice Management
From the Chair
Just the Fax? Seeking New Ways to Improve Revenue Cycle Processes
By Debora Kuchka-Craig, FHFMA
Forward-looking hospitals are seeking ways to better assess revenue cycle performance. HFMA recently launched MAP, a comprehensive revenue cycle strategy, to help hospitals meet this need.
From the President
Quest for Revenue Cycle Improvement
Richard L. Clarke, DHA, FHFMA
HFMA has taken a major step toward supporting hospitals' revenue cycle performance improvement efforts with its new MAP initiative for revenue cycle excellence.
From the Editor
Back to School
By Robert Fromberg, Editor-in-Chief
Eye on Washington
Medicare Solvency Extended... But with Many Caveats
By Gail W. Wilensky
How CFOs Can Help Compensation Committees Make Better Decisions
By C.J. Bolster, Bill Quirk
Turning Data into Actionable Information - and Improved Outcomes
By Richard Bankowitz
The Endowment Model: Alive and Well
By Sarah Vigneron
Medicaid Payer Mix Varies Widely by State
Member Spotlight: Flying High