Cover Story
Maintaining Revenue Cycle Health During IT Change
Implementing an electronic health record at one of Presence Health's hospitals was accomplished in stages designed to ensure minimal disruption to the revenue cycle.
By Patrick McDermott, Jess Jones, Larry Stuckey
Web Extra: The revenue cycle workflow and reporting tool shows risk areas that the organization needs to address.
Web Extra: The organization's patient liability collections process has a specific purpose and provides clear, measurable goals.
Features
Sharp HealthCare: A Smarter Plan to Help the Uninsured
Sharp HealthCare increased self-pay revenue substantially by helping patients determine their eligibility for coverage under government and other programs charged with covering the uninsured.
By Gerilynn Sevenikar, Ankeny Minoux
Bridging the Gap Between Financial Reporting and the Revenue Cycle
Standardized data, tools, and metrics can improve the dialogue between the revenue cycle and finance functionsthese important groups, while streamlining and enhancing the net revenue reporting and budgeting processes.
By Kari Clark and Derek Bang
Leveraging Existing Technology to Boost Revenue Cycle Performance
Revenue cycle leaders can often reduce the frequency or level of technology investment needed by using existing technology more efficiently and maintaining strong levels of service and payment accuracy.
By Karen Wagner
Strategies for ICD-10 Implementation
Staying the course for ICD-10 preparations is critical for hospitals and health systems.
By Ann Zeisset, Sue Bowman
Web Extra: Learn more about the general equivalence mappings, and why they were developed.
The Clinical Documentation Advantage: Protecting the Revenue Cycle Under ICD-10
The best strategy for providers to build a solid foundation for effective ICD-10 coding, and thereby protect the revenue cycle, is to establish a clinical documentation improvement program.
By Catherine Leenheer
Achieving Revenue Integrity in Hospitals and Health Systems
The Bellevue Hospital launched an initiative to improve days in accounts receivable, reduce denials, and improve charge capture-and enhanced revenue by more than $1 million.
By Marianne Schoen, Michael Najera
Choosing the Right Strategy for Point-of-Service Collections
There are several key considerations for choosing point-of-service collections technology.
By Jim Bohnsack, Scott Hawig
Long-Term Incentive Pay Plans: A Value Option for Healthcare Organizations
Long-term incentive pay plans for key leaders can help advance important strategic goals at not-for-profit hospitals and health systems.
By William Quirk
Focus Areas
Integration
Shared Governance: One Way to Engage Employed Physicians
To work better with employed physicians, finance leaders need to understand what motivates physicians and implement best practices that have helped other organizations succeed in this area.
By Kathleen Sanford
Physicians Relations
Think Big, Act Small
Successful health systems are built from the bottom up, around the smallest unit of service-the patient visit.
By Marc Halley
Columns
From the Chair
Implementing Innovative Payer and Provider Models
Many healthcare providers have begun to form partnerships to position themselves for success in the new era of reform.
By Ralph Lawson, FHFMA, CPA
From the President
Deciding Whether to Take the Plunge
As the transition to a value-based payment and care delivery system accelerates, more providers will consider taking the plunge into population health management.
By Joseph Fifer, FHFMA, CPA
From the Editor
A New Beginning
Implementing an EHR may carry the same bright promise as a new school year, but it is far from a new beginning.
By Robert Fromberg, Editor-in-Chief
Eye on Washington
Uncertainty Dominates the Near-Term Environment
As the dust is settles on the Supreme Court decision on whether the Affordable Care Act is constitutional, providers need to recognize how much uncertainty remains in the future and plan accordingly.
By Gail Wilensky
Healthcare Value
Risky Business
Increased exposure to risk will be a reality for most hospitals and health systems in the transition to value, but there are strategies they can employ to manage their exposure to risk.
By James Landman
Capital Finance
Investment Returns: On a Treadmill in 2011
A nationwide study of healthcare organizations shows flat returns as well as some important shifts in asset allocation for investable assets and defined benefit plans.
By William Jarvis
5 Ways To...
5 Ways to Teach Physicians About Financial Management
Learn strategies for helping physicians understand what is driving the bottom line.
By Karen Wagner
Data Trends
The Dollar Trends of Hospital Revenue Cycle Management
Etcetera
Member Spotlight: Following a Call to Serve
Bookshelf: Pursuing the Triple Aim: Seven Innovators Show the Way to Better Care, Better Health, and Lower Costs
Executive Interview
Anthony DeFurio: Achieving Growth Through Partnerships