Cover Featurecover

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.


Features

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.


Focus Areas

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.

Revenue Cycle

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


Columns

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

Leadership

How CFOs Can Help Compensation Committees Make Better Decisions

By C.J. Bolster, Bill Quirk

Inside IT

Turning Data into Actionable Information - and Improved Outcomes

By Richard Bankowitz

Capital Finance

The Endowment Model: Alive and Well

By Sarah Vigneron

Data Trends

Medicaid Payer Mix Varies Widely by State

Etcetera

Member Spotlight: Flying High

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