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Learn how to increase receivables, reduce denials and work more efficiently with HFMA’s new Certified Revenue Cycle Representative certification program.
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MAP App is a web-based application that helps organizations improve revenue cycle performance based on industry-standard metrics called MAP Keys.
Find suppliers and products in this comprehensive vendor directory for healthcare finance professionals.
Guidance for understanding and communicating about the price of health care.
Transformation toward value-based healthcare is reshaping the delivery of care, patient expectations, and payment structures.
Improve your revenue cycle performance through standard metrics, peer comparison, and successful practices.
Sponsorship opportunities help you make an impact on the industry by forming meaningful, long-lasting relationships with healthcare financial leaders.
HFMA has developed four annual sponsorship program packages: Diamond, Platinum, Gold, and Silver. Designation in one of these categories depends on the level of financial contribution and activity of the sponsoring organization.
HFMA also offers many standard sponsorship offerings ranging from social activities to educational events and research. For inquiries concerning annual and other sponsorship opportunities, please contact Bill Casey or call (708) 492-3392.
Change Healthcare is a leading provider of software and analytics, network solutions and technology-enabled services that optimize communications, payments and actionable insights designed to enable smarter healthcare. By leveraging itsIntelligent Healthcare Network™, which includes the single largest financial and administrative network in the United States healthcare system, payers, providers and pharmacies are able to improve efficiency, reduce costs, increase cash flow and more effectively manage complex workflows.
GE Healthcare provides transformational medical technologies and services to meet the demand for increased access, enhanced quality, and more affordable health care around the world. GE works on things that matter—great people and technologies taking on tough challenges. From medical imaging, software and IT, patient monitoring and diagnostics, to drug discovery, biopharmaceutical manufacturing technologies, and performance improvement solutions, GE Healthcare helps medical professionals deliver great health care to their patients. GE Healthcare delivers enterprise-wide revenue cycle management solutions that help health systems, hospitals and large practices optimize financial performance and successfully adapt to healthcare payment reform.
Kaufman Hall provides management consulting services and enterprise performance management software that help organizations solve key business issues and achieve their strategic and financial goals. Since 1985, we have been a trusted advisor to hospitals and health systems, helping them come to terms with changing industry conditions and develop and execute plans and initiatives that ensure long-term success. Our software solutions for long-range planning, budgeting and forecasting, performance reporting, capital planning, cost accounting, and decision support enable data-driven analysis and quantify the financial impact of plans, scenarios, and actions to improve organizational decision making and performance.
McKesson is a healthcare services and information technology company dedicated to helping its customers deliver care in the safest, most cost-effective manner possible. McKesson’s consumer-driven revenue cycle solutions increase pre-service collections, improve financial performance, and measure and monitor your key performance indicators using actionable data. These financial clearance and financial settlement solutions also optimize payer reimbursement, lower the cost of collections, and increase patient satisfaction.
RelayHealth Financial is a leading provider of healthcare financial solutions, including those for patient access and collections and analytics-driven claims management. Our broad array of revenue cycle management solutions help healthcare professionals make better financial decisions for their organizations and patients, right at the point of care.
Simplee® offers a patient financial experience platform for hospital providers nationwide. Our unique focus on patient success empowers providers to boost patient satisfaction, increase revenues, and reduce collection costs. Learn more about Simplee's integrated technology solution for estimate, pay, and credit at simplee.com.
Adreima provides clinically-integrated revenue cycle services to 600 - plus hospitals nationwide. Adreima offers specialized delivery expertise with a full revenue cycle perspective to assist our clients in recognizing the full value of the services they provide. Our unique clinical approach to the revenue cycle helps us to support our clients in achieving results.
Whether you seek an infusion of funds, improved revenue cycle metrics,streamlined payments processes, or strategic advice, Bank of America Merrill Lynch services backed by more than $23 billion in commitments provide customized solutions to the healthcare industry. All delivered by a client relationship manager and team of specialists focused on improving your financial health.
Craneware is the leader in automated value cycle solutions that help provider organizations discover, convert and optimize assets to achieve best clinical outcomes and financial performance. Our solutions deliver value at the points where clinical and operational data transform into financial transactions.
Humana, Inc, headquartered in Louisville, Kentucky, is a leading health and wellbeing company. With over 900 value-based care relationships, Humana offers population health capabilities that support physicians on their transformational journey from volume to value care. Humana’s focus is on evidenced-based, high-quality care which leads to improved care coordination, better outcomes and lower health care costs.
Optum360® is a leading revenue cycle management business dedicated to simplifying the business of health care by delivering health information, services and technology to hospitals, physicians and health systems. Our 7,500 performance experts provide revenue cycle leadership, innovation and operational excellence to eliminate the inefficiencies in health care
Best known for market-leading coding solutions and ICD-10 expertise, 3M Health Information Systems delivers innovative software and consulting services for computer-assisted coding, clinical documentation improvement, and case mix and quality reporting. 3M’s patient classification and grouping solutions can help hospitals adjust to payment reform and succeed in a pay-for-outcomes environment.
CarePayment is a patient financial engagement company that addresses the needs of the new healthcare consumer. Powered by advanced technology and analytics, our innovative patient financing solutions improve patient satisfaction and loyalty while delivering superior financial results.
Healthcare Outsourcing Network LLC is a national revenue cycle management firm headquartered in Denver. HON provides self-pay and insurance follow-up services, via customized revenue recovery programs capitalizing on state-of-the-art technology and effective customer service. Our guiding principles are providing superior customer service, building client relationships, and maximizing recoveries.
MedAssets is a healthcare performance improvement company that combines strategic market insight with rapid operational execution to help providers sustainably serve the needs of their communities. More than 4,500 hospitals and 123,000 non-acute healthcare providers rely on our solutions to reduce the total cost of care, enhance operational efficiency, align clinical delivery, and improve revenue performance across the System of CARE.
Navigant Consulting, Inc. provides a range of services, spanning from consulting and compliance to litigation and investigative support, to help highly-regulated industry organizations address their most critical business issues. We assist clients in designing, developing and implementing integrated, technology-enabled solutions that create high-performing healthcare organizations.
Parallon is a leading provider of healthcare business and operational services. Parallon partners with hospitals and healthcare systems to improve their business performance through best practices in revenue cycle, group purchasing through HealthTrust, supply chain, technology, workforce management and consulting.
Precyse provides industry-leading expert services and comprehensive technologies that empower healthcare organizations to most effectively and efficiently capture, organize, secure and analyze clinical data and transform it into actionable information, supporting the delivery of quality patient care and optimizing operating performance. Precyse has enabled nearly 5,000 healthcare facilities and health systems nationwide to improve efficiency and deliver tangible outcomes for more than a decade with the ONLY Peer Reviewed HIM Technology and Services Suite.
AbbVie is a global, research-based biopharmaceutical company which combines the focus of a leading-edge biotech with the expertise and structure of a long-established pharmaceutical leader. AbbVie is committed to using unique approaches to innovation to develop and market advanced therapies that address some of the world’s most complex and serious diseases.
Allscripts is a global leader in healthcare information technology solutions that advance clinical, financial and operational results. Connecting people, places and data across an Open, Connected Community of Health™, our financial solutions optimize transactions and processes while delivering analytics for improved performance and efficiency.
Give your hospital a financial checkup. American Express can help identify the healthcare payment solutions that may be a good fit for your company. Working with American Express can provide an opportunity to help improve cash management and payment process efficiencies. Learn more about the suite of payment solutions for the healthcare industry at americanexpress.com/healthcarepayments.
Availity is a trusted intermediary for information exchange between health plans and providers, easing the complexity of moving business and clinical information to health care stakeholders nationwide. Real-time, point-to-point connectivity provides speed and accuracy at the intersection of health care and technology.
Capio Partners provides revenue cycle solutions for some of the nation’s leading healthcare providers and hospital systems, converting uncollected receivables into cash. Capio's Complaintless CollectionsTMmodel helps optimize healthcare revenue cycles through best practices that focus on educating and advocating for patients, while remaining fully compliant with industry regulations.
Cerner is the world’s largest publicly traded health information technology company providing leading-edge solutions and services for health care organizations worldwide. Cerner’s mission is to contribute to the systemic improvement of health care delivery and the health of communities.
Conifer Health Solutions is a healthcare business process management services provider offering solutions that address the entire continuum of health administration. We provide comprehensive operational management for revenue cycle functions, offer patient communications solutions to optimize communication between providers and patient, and support value-based performance through dynamic payment arrangements, ACO management, population health management, and clinical integration solutions.
Executive Health Resources (EHR) offers a comprehensive suite of expert medical review services that help providers and health plans achieve financial integrity and compliance. Our physician-led teams possess unmatched clinical, regulatory and business expertise. Supported by our industry-leading EHR Logic™, technology and analytics, our experts have performed over 10 million medical reviews for more than 2,300 providers and 300 health plans. EHR reduces administrative costs, promotes transparency, and facilitates equitable financial interactions for all health care constituents through our offerings focused in Medical Necessity Compliance, Commercial Admission Review, Denials & Appeals Management and Physician Documentation Services.
Fifth Third Bancorp is a diversified financial services company headquartered in Cincinnati, Ohio. The Company has $142 billion in assets and operates 12 affiliates with 1,295 full-service Banking Centers. Fifth Third Bank Healthcare is committed to helping your organization find opportunities to operate more efficiently and profitably. Fifth Third Bank is Member FDIC.
Grant Thornton LLP provides audit, tax, and consulting services that help committed health care organizations grow and prosper in the evolving and ever changing health care marketplace. Our larger competitors offer capabilities. Our smaller competitors offer agility. Only Grant Thornton delivers on both.
Healthcare Strategy Group offers hospitals and health systems a comprehensive approach to physician integration. From building market power and financial strength to preparing for value-based care, we can help you define your strategy, implement that strategy and manage your physician network short or long-term. We guarantee results and deliver the greatest value as a trusted member of your team.
Imprivata, the healthcare IT security company, provides healthcare organizations globally with a security and identity platform that delivers authentication management, fast access to patient information, secure communications, and positive patient identification. Imprivata enables care providers to securely and efficiently access, communicate, and transact patient health information to address critical compliance and security challenges while improving productivity and the patient experience.
Ponder & Co. has been providing financial advisory services to healthcare institutions for over 35 years. We help our clients manage the capital formation process, and we advise them on corporate development decision making, including mergers, acquisitions, and divestitures, all within the not-for-profit healthcare space. Our ultimate goal is to empower our clients to make the most informed decisions.
Strata Decision Technology provides a cloud-based financial analytics and performance platform that is leveraged by healthcare providers for financial planning, decision support and continuous cost improvement. Founded in 1996, the Company's customer base includes 1,000 hospitals and many of the largest and most influential healthcare delivery systems in the U.S.
TransUnion Healthcare’s ClearIQ Patient Access and eScan Insurance Discovery solutions more accurately identifies and helps providers understand, predict, and integrate their patients’ financial behavior so they can efficiently maximize reimbursement for the care provided. Which ultimately help providers reduce uncompensated care and deliver a more transparent and improved patient experience.
Valence Health provides value-based care solutions for hospitals, health systems and physicians to help them achieve clinical and financial rewards for more effectively managing patient populations. Leveraging 20 years of experience, Valence Health works with clients to design, build and manage customized value-based care models including clinically integrated networks, bundled payments, risk-based contracts, accountable care organizations and provider-sponsored health plans. Providers turn to Valence Health’s integrated set of advisory services, population health technology and managed services to make the volume-to-value transition with a single partner in a practical and flexible way. Valence Health’s more than 900 employees empower 85,000 physicians and 135 hospitals to advance the health of 20 million patients.
Xtend Healthcare is the fastest growing revenue cycle solution company offering 100 percent onshore solutions. Our senior management team has over three decades of revenue cycle experience. We offer cutting-edge technology, experienced staff, and 100 percent satisfaction. Revolutionize your revenue cycle, Extend your staff and assets, and Improve your bottom line.
ZirMed empowers healthcare organizations to optimize revenue and population health with the nation’s only comprehensive end-to-end platform of cloud-based financial and clinical performance management solutions—including patient access, charge integrity, claims management, AR management, patient responsibility, and population health management. Start boosting your bottom-line performance.
In this Business Profile, Shawn Yates, director of healthcare product management at Ontario Systems, discusses the growing challenge of managing self-pay accounts and provides insight on how providers can successfully collect patient payments.
In this business profile, Cathy Smith, leader of the revenue transformation consulting practice at The Claro Group discusses how the organization helps hospitals and medical groups reimagine their revenue cycle.
In this business profile, Deloitte & Touche LLP executives Anne Phelps, principal and U.S. healthcare regulatory leader, and Daniel Esquibel, senior manager, explain ways health systems, health plans, and physician practices can prepare for MACRA.
In this Business Profile, Bruce Haupt, president and CEO of ClearBalance, discusses how a patient loan program can increase patient collections, reduce bad debt, and speed cash flow.
In this Business Profile, Jerry Bruno, principal with Deloitte Consulting LLP, discusses the importance of choosing revenue cycle solutions that help an organization meet the challenges of a quickly evolving healthcare environment.
In this business profile, Lane Jackson, a partner in the Grant Thornton LLP Health Care Advisory Services practice, with extensive experience in overseeing system implementations and revenue cycle reorganizations, discusses best practices for elevating revenue cycle performance during an EMR implementation. Grant Thornton LLP is a sponsor of the Large System Controllers Council Affinity Group.
Patient financial engagement is more challenging than ever – and more critical. With patient responsibility as a percentage of revenue on the rise, providers have seen their billing-related costs and accounts receivable levels increase. If increasing collection yield and reducing costs are a priority for your organization, the metrics outlined in this presentation will provide the framework you need to understand what’s working and what’s not, in order to guide your overall patient financial engagement initiatives and optimize results.
No two patients are the same. Each has a very personal healthcare experience, and each has distinct financial needs and preferences that have an impact on how, when and if they chose to pay their healthcare bill. It’s no longer effective to apply static billing techniques to solve the complex challenge of collecting balances from patients. The need to tailor financial conversations and payment options to individual needs and preferences is critical. This presentation provides 10 recommendations that will not only help you improve payment performance through a more tailored approach, but take control of rising collection costs.
This white paper, written by Apex Vice President of Solutions and Services, Carrie Romandine, discusses the importance of patient segmentation and messaging specifically related to the patient revenue cycle. Applying strategic messaging that is tailored to each patient type will not only better educate consumers on payment options specific to their billing needs, but it will maximize the amount collected before sending to collections. Further, targeted messaging should be applied across all points of patient interaction (i.e. point of service, customer service, patient statements) and analyzed regularly for maximized results.
This white paper, written by Apex President Patrick Maurer, discusses methods to increase patient adoption of online payments. Providers are now seeking ways to incrementally collect more payments due from patients as well as speeding up the rate of collections. This white paper shows why patient-centric approaches to online payment portals are important complements to traditional provider-centric approaches.
Increased electronic engagement between healthcare providers and patients provides significant opportunities for improving revenue cycle metrics and encouraging patients to access EHRs. This article, written by Apex Founder and CEO Brian Kueppers, explores a number of strategies to create synergy between patient billing, online payment portals and electronic health record (EHR) software to realize a high ROI in speed to payment, patient satisfaction and portal adoption for meaningful use.
Faced with a rising tide of bad debt, a large Southeastern healthcare system was seeing a sharp decline in net patient revenues. The need to improve collections was dire. By integrating critical tools and processes, the health system was able to increase online payments and improve its financial position. Taking a holistic approach increased overall collection yield by 10% while costs came down because the number of statements sent to patients fell by 10%, which equated to a $1.3M annualized improvement in patient cash over a six-month period. This case study explains how.
With the ICD10 deadline quickly approaching and daily responsibilities not slowing down, final preparations for October 1 require strategic prioritization and laser focus.
Read how Gwinnett Medical Center provides clear connections to financial information, offers multiple payment options for patients, and gives onsite staff the ability to collect payments at multiple points throughout the care process.
Read how Orlando Health was able to perform deeper dives into claims data to help the health system see claim rejections more quickly–even on the front end–and reduce A/R days.
To maintain fiscal fitness and boost patient satisfaction and loyalty, healthcare providers need visibility into when and how much they will be paid–by whom–and the ability to better navigate obstacles to payment. They need payment clarity. This whitepaper illuminates this concept that is winning fans at forward-thinking hospitals.
Financial services staff are always looking for ways to improve the verification, billing and collections processes, and Munson Healthcare is no different. Read about how they streamlined the billing process to produce cleaner bills on the front end and helped financial services staff collect more than $1 million in additional upfront annual revenue in one year.
Effective revenue cycle management can be a challenge for any hospital, but for smaller providers it is even tougher. Read how Wallace Thomson identified unreimbursed procedures, streamlined claims management, and improved its ability to determine charity eligibility.
Before launching an energy-efficiency initiative, it’s important to build a solid business case and understand the funding options and potential incentives that are available. Healthcare leaders should consider taking the steps outlined in the whitepaper to ease the process of gaining approval, piloting, implementing, and supporting sustainability projects. You will find that investing in sustainability and energy efficiency helps hospitals add cash to their bottom line. Discover how hospitals and health systems have various options for funding energy-efficient and renewable-energy initiatives, depending on their current financial structure and strategy.
Health care is a dynamic mergers and acquisitions market with numerous hospitals and health systems contemplating or pursuing formal arrangements with other entities. These relationships often pose a strategic benefit, such as enhancing competencies across the continuum, facilitating economies of scale, or giving the participants a competitive advantage in a crowded market. Underpinning any profitable acquisition is a robust capital planning strategy that ensures an organization reserves sufficient funds and efficiently onboards partners that advance the enterprise mission and values.
The success of healthcare mergers, acquisitions, and other affiliations is predicated in part on available capital, and the need for and sources of funding are considerations present throughout the partnering process, from choosing a partner to evaluating an arrangement’s capital needs to selecting an integration model to finding the right money source to finance the deal. This whitepaper offers several strategies that health system leaders have used to assess and manage capital needs for their growing networks.
Announcements from several commercial payers and the Centers for Medicare and Medicaid Services (CMS) early in 2015 around increased efforts to form value-based contracts with providers seemed to point to an impending rise in risk-based contracting. Rather than wait for disruption from the outside in, health care providers are now making inroads on collaborating with payers on various risk-based contracting models to increase the value of health care from within.
Yuma Regional Medical Center (YRMC) is a not-for-profit hospital serving a population of roughly 200,000 in Yuma and the surrounding communities.
Before becoming a ZirMed client, Yuma was attempting to manually monitor hundreds of thousands of charges which led to significant charge capture leakage. Learn how Yuma & ZirMed worked together to address underlying collections issues at the front end, thus increasing Yuma’s overall bottom line.
Kindred Hospital Rehabilitation Services works with partners to audit the market and the facility’s role in that market to identify opportunities for improvement. This approach leads to successes; Kindred’s clinical rehab and management expertise complements our partners’ strengths. Every facility and challenge is unique, and requires a full objective analysis.
As the critical link between patient care and reimbursement, health information enables more complete and accurate revenue capture. This 5-Minute White Paper Briefing shares how to achieve cost-effective revenue integrity by your optimizing HIM systems.
Speedier cash flow starts with better CDI and coding. This 5-Minute White Paper Briefing explains how providers can improve vital measures of technical and business performance to accelerate cash flow.
Qualified coders are getting harder to come by, and even the most seasoned professional can struggle with the complexity of ICD-10. This 5-Minute White Paper Briefing explains how partnerships can help improve coding and other key RCM operations potentially at a cost savings.
The point of managing your revenue cycle isn’t just to improve revenue and cash flow. It’s to do those things effectively by consistently following best practices— while spending as little time, money, and energy on them as possible.
How Lucile Packard Children’s Hospital Stanford increased payments received within 45 days by 20% and reduced paper submission claims by 70% by using ZirMed solutions.
The reasons claims are denied are so varied that managing denials can feel like chasing a thousand different tails. This situation is not surprising given that a hypothetical denial rate of just 5 percent translates to tens of thousands of denied claims per year for large hospitals—where real‐world denial rates often range from 12 to 22 percent. Read about how predictive modeling can detect meaningful correlations across claims denials data.
Emergency Mobile Health Care (EMHC) was founded to be and remains an exclusively locally owned and operated emergency medical service organization; today EMHC serves a population of more than a million people in and around Memphis, answering 75,000 calls each year.
Since the Physician Quality Reporting Initiative (PQRI) introduction, CMS has paid more than $100 million in bonus payments to participants. However, these bonuses ended in 2015; providers who successfully meet the reporting requirements in 2016 will avoid the 2% negative payment adjustment in 2018, so now is the time to act! Included in this whitepaper are implications of increasing patient responsibility, collections best practices, and collections and internal control solutions.
Getting paid what your physician deserves—that’s the goal of every biller. Yet even for the best billers, achieving that success can be elusive when denials stand in the way of success, presenting challenges at every turn. Denials aren’t going away, but you can learn techniques to manage and even prevent them.Join practice management expert Elizabeth W. Woodcock, MBA, FACMPE, CPC, to: Discover methods to translate denial data into business intelligence to improve your bottom line, determine staff productivity benchmarks for billers, and recognize common mistakes in denial management.
Physician practices must improve organizational efficiency to compete in this era of reduced reimbursement and escalating administrative costs.
Many healthcare organizations are pursuing next-generation health information systems solutions. Learn more about Navigant's work with University of Michigan Health System.
The proper implementation of healthcare information technology systems is crucial to an organization’s financial health.
Copyright 2016, Healthcare Financial Management Association.
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