hfm Winter 2023

Payment edition

Cover Story

Igniting revenue cycle’s superpower: Patient advocacy

The 2024 HFMA Revenue Cycle Conference will present strategies for adopting an active approach to patient education, denials management and AI.

Feature

Payer scorecards hold promise for promoting an enhanced payer-provider equilibrium

With the increasing adoption and refinement of payer scorecards across the U.S. healthcare system, the industry could see a dramatic lessoning of the tensions that have long defined the payer-provider relationship.

Expert Reviewed

6 steps to prepare now for looming information-blocking requirements

CMS’s healthcare information-blocking requirements under the 21st Century Cures Act will likely become effective in 2024.

4 steps healthcare CFOs can take to improve interoperability

By promoting greater interoperability among information systems within and outside of their organizations, healthcare finance leaders can help reap the benefits of the organizations’ technology investments.

Columns

Dennis Dahlen: it’s time to look at what’s working — and what isn’t — in reducing care costs

HFMA Chair Dennis Dahlen says a surprising phenomenon happening in Medicare spending it points to the need for a deeper assessment of healthcare cost containment.

Jill Geisler: Tips on how to be an accessible, approachable leader

Leadership expert and HFMA columnist Jill Geisler explains how to be an accessible, approachable leader without exhausting yourself in the process. 

David Johnson: Efforts to revitalize healthcare on Chicago’s South Side underscore a critical national challenge

HFMA columnist David Johnson describes the challenges Chicago has faced in its efforts to address inner-city health and healthcare problems borne out innate social inequities, noting that Chicago’s challenges are only indicative of the larger national problem.

Marcus Whitney: Healthcare defragments, payers grow stronger

HFMA columnist Marcus Whitney predicts the nation will soon see a new healthcare industry emerge that will be less fragmented, more integrated and more value-based care driven. 

Departments

Chapter News: Puerto Rico Chapter signs collaborative agreement

HFMA-Puerto Rico and Puerto Rico’s College of Healthcare Services Administrators signed a collaborative agreement to promote and strengthen the profession of health services administration.  

News Briefs: Medicare’s hospital outpatient payment rate for 2024 improves marginally from the proposed rule

As published in the Winter 2023 issue of hfm, this news roundup presents the top stories for healthcare finance professionals.

People: Kaleida Health taps Matthew Drake and Hugh Chisholm for new roles

HFMA fellows Matthew Drake and Hugh Chisholm have been appointed to new leadership positions at Kaleida Health. Chris Allen, Derek Goebel and Leigh Ehrlich have new CFO jobs. 

Supplements

Huron: Understanding the true cost to collect requires focusing on high-level KPIs

Revenue cycle management leaders from around the country share their perspectives on defining and maintaining a high-performance revenue cycle and the challenges they face in working to enhance revenue cycle management.

Grant Thornton: Deploying EPM in the cloud: 6 steps that drive value

Cloud-based enterprise performance management (EPM) offers tremendous potential for health systems, but the ability to drive value depends on a thoughtful approach that puts as little pressure as possible on existing resources, both technological and human.

Syntellis: Using analytics effectively to drive margin improvement

Participants of an HFMA Executive Roundtable held June 27 discuss how healthcare providers are taking steps to encourage data sharing among units and create a single source of truth for operational and patient data.

Fathom: AI-powered coding automation — The state of the art and future direction

This roundtable discussion conducted at HFMA’s 2023 Annual Conference in Nashville,
Tennessee sought to understand both the opportunities and challenges that AI-powered coding automation poses for healthcare organizations.

CommerceHealthcare: RemitConnect helps healthcare organizations automate manual posting and reconciliation processes

This HFMA Peer Review Spotlight explores the benefits of CommerceHealthcare’s RemitConnect solution in complementing a healthcare organization’s existing patient accounting or practice management system.

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