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News
News | Health Plan Payment and Reimbursement

Upside-only pay surges as risk-based pay, clinical results remain flat, scorecard finds

Bonus-based value payment models have proliferated among employer health plans, while risk-based payment and performance on clinical quality indicators have not changed significantly, according to a recently published scorecard.

By Rich Daly, HFMA senior writer and editor
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News | Physician Payment and Reimbursement

Medicare reopens deadline for providers to signal interest in direct contracting

Primary care physicians will have another chance to apply and participate in the delayed Direct Contracting model with Medicare.

By Rich Daly, HFMA senior writer and editor
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News | Healthcare Business Trends

News Briefs for December 2019

Recent news stories affecting healthcare finance

By Rich Daly
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News | Staff Development

Enterprise membership spurs substantial growth in HFMA certifications at Geisinger

Enterprise News: Geisinger, a Pennsylvania health system, is encouraging HFMA Enterprise members in its organization to pursue certifications.

By Eric C. Reese, PhD
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News | Partnerships and Value

HFMA leaders expand Association's presence at Abu Dhabi Healthcare Information Summit

HFMA leaders presented a revenue cycle session and met with delegates attending an AHIMA international summit in the United Arab Emirates.

By Mary Mirabelli, FHFMA
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Topics
Blog | FASB and GASB Rules and Guidelines

Analysis: Health systems likely to continue to issue bonds at a feverish pace

Health systems are likely to continue to issue bonds right now for two reasons, including taxable and tax-exempt interest rates that are too good to miss.

By Chuck Alsdurf
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Article | Cost of Care

Craneware: Demystifying the costs of care

A leading chargemaster company discusses its commitment to helping healthcare organizations understand their total cost of care and make strategic decisions to grow and protect margin.

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Blog | Innovation and Disruption

Retailers partnering with healthcare companies to expand access

A review of newly announced partnerships between Walgreens and United Healthcare and Kroger and Ascension.

By Chad Mulvany
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Blog | Population Health Management

Analysis: Taking healthcare to the street is effective for patients and reduces healthcare costs

Healthcare can be more medically effective and cost effective by removing barriers, establishing relationships and engaging patients with interventions that begin where the patient is, including living on the streets.

By Katie Gilfillan
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Podcast | Legal and Regulatory Compliance

Price Transparency: What to Know About the CMS Final Rule

The podcast team breaks down the recently issued CMS final rule around price transparency. Also, a rural health system in South Dakota discusses how it transformed its revenue cycle by focusing on self-pay patients.

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Article | Medicare Compliance, RAC, OIG

BESLER: Full-service Transfer DRG revenue recovery

BESLER talks about its Transfer DRG revenue recovery service that helps hospitals recover monies they have rightfully earned while maintaining compliance.

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How To | Cost Reduction

The price of innovation: 3 steps for managing specialty drug costs

Health plans can help control the cost of specialty drugs by communicating with providers about appropriate treatments, integrating coordination of pharmacy and medical benefits and implementing fixed-price models.

By Emad Rizk, MD
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Trend | Operations Management

5 areas where hospitals can improve both financial performance and patient care

Data Trends: CMS data in the Medicare Provider Analysis and Review file indicates U.S. hospitals' average loss per admission increased 5% from 2016 to 2018.

By Jan Welsh
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Trendsetter | Payment Trends

Taking the sting out of patient bill payment

An innovative technology startup talks about its free, user-friendly bill payment app and how it can help healthcare organizations provide a simpler way for patients to pay.

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Article | Bundled Payment

How CMS sets the target price for bundles under BPCI-A

Read a description of CMS's method for setting episode target prices under its Bundled Payments for Care Improvement Advanced model.

By Erin Hahn, MPH, Jonathan Pearce, CPA, FHFMA, Theresa Dreyer, and Heather Peiritsch, MSN, RN, NEA-BC
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Executive Roundtable | Patient Financial Communications

The challenges and opportunities in pursuing a patient-centric financial experience

A roundtable of healthcare revenue cycle leaders examines the pressing need to keep patients at the center of revenue cycle activities to increase yield and patient satisfaction while lowering administrative costs.

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How To | Revenue Cycle

2 tools to help providers optimize patient payment plans and boost collections

To ensure patient payment plans are working well for an organization, leaders must analyze the true cost of servicing those plans.

By Mark Huebner
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Article | Revenue Cycle Technology

Parallon: Helping providers tackle complex revenue cycle challenges

A leading revenue cycle management company talks about how it partners with healthcare organizations to use technology for optimizing financial performance and enabling patient-centric financial interactions.

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Article | Revenue Cycle Technology

Top revenue cycle challenges and opportunities

Important learnings from a September 2019 HFMA study about the impact of EHRs, consumer self-pay and IT budgets on revenue cycle operations.

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Column | Staff Development

Maryland Chapter member takes on three new roles

A Maryland Chapter member retired from her full-time career to take on three new professional roles. Plus, Board members across different Chapters share new life updates.

By Jennifer Novoseletsky
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Column | Leadership

This holiday season, let’s celebrate the everyday healthcare heroes

From the President: HFMA President and CEO Joe Fifer reflects on the invaluable contributions of the people on the frontlines of our healthcare system.

By Joseph J. Fifer, FHFMA, CPA
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HFM
Column | Staff Development

Region 5 members partake in service projects

HFMA’s Region 5 members are in the giving mood and spirit, participating throughout the year in both regional and individual Chapter service project.

By Jennifer Novoseletsky
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Trend | Financial Leadership

The most pressing ethical issues in healthcare

Healthcare leaders say these ethical concerns are top of mind today.

By Laura Hegwer
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Trendsetter | Payment Trends

Taking the sting out of patient bill payment

An innovative technology startup talks about its free, user-friendly bill payment app and how it can help healthcare organizations provide a simpler way for patients to pay.

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Community

  • Accounts Payable Process Improvement
    Christopher McDonald Posted 2 days ago
    Hi all, I'm new to the group. I've been involved with Healthcare payments from the AP side for over 5 years and I'm happy to give any advice or information in regards to improvement with AP payments. Checks are a time suck and they're great alternatives.
    Read More

    0

  • New to Revenue cycle Management

    Tiffany Smith Posted 9 days ago

    Hi everyone. My name is Tiffany and I am pretty new to the hospital world side of Revenue Management. I finished my degree next semester, have my CRCR from here and got my first hospital job this year. The position I hold is the collections manager.  One of the duties that fall to me is being in charge of the chargemaster. I now that CPT codes are always updating and changing. What I don't know is where to gather this information. Does anyone have any tips? 

    Thank you,

    Tiffany Smith 

    Read More

    1

  • Capitalized Salaries
    Autumn Araujo Posted 11 days ago

    Hello!

    We are looking into how companies are capitalizing salaries.  We have some salaries that are capiatalized via manual journal entry (facilities), and are wondering if anyone is able to automate this through payroll and their ERP system.  We have tried in the past, and ran into issues. Please describe your process, and share what system you are using. We are currently using the non-cloud based version of Infor/Lawson.

    Best,

    Autumn Araujo

    Director, Tax & Accounting

    Sharp HealthCare

    Read More

    0