Ensuring Access to Medicaid Proposed Rule Summary
On May 3, 2023, CMS published in the Federal Register a proposed rule entitled “Medicaid Program; Ensuring Access to Medicaid Services” (88 FR 27960-28089). The rule proposes policies that take a comprehensive approach to improving access to care, quality and health outcomes, and better addressing health equity issues in the Medicaid program across fee-for-service, managed care delivery…
How healthcare organizations navigate claims processing
View the results of a survey about claims processing and revenue cycle performance conducted with more than 625 healthcare leaders.
Leveraging extensible technology to create consumer-centric healthcare ecosystems
Implementing new technologies can eliminate tedious tasks and open the door for more impactful work as well as provide patients with easier access to convenient scheduling, registration and billing options. Dive into this roundtable for additional insight on technologies progressing the industry.
Healthcare providers seeing more diagnosis-related group downgrades and ghost denials
Each year, tens of millions of medical claims will be denied by healthcare payers. One executive director led a session with more than a dozen attendees highlighting their experiences with DRG downgrades and lessons learned to help other organizations better measure, manage and successfully appeal these complex denials.
IMA and HFMA Release Report on Cost Management in Healthcare
As the complexities faced by one of the largest and most essential industries continue to rise, IMA® (Institute of Management Accountants) and the Healthcare Financial Management Association (HFMA), today released “Cost Management in Healthcare: Status Quo and Opportunities.” The joint report acknowledges the challenges, identifies opportunities, and presents actionable recommendations for accounting and finance leaders to help healthcare institutions improve quality while lowering costs.
Using 5 facets of nonqualified incentive plans to attract, reward, and retain key talent
Privately held healthcare organizations need a creative, cash-based incentive program to stay competitive with their peers. Nonqualified deferred compensation (NQDC) plans provide a platform for organizations of all sizes to deliver these solutions. An NQDC plan is a flexible, tax-efficient program that provides an employer with a tool to attract, reward and retain key employees.…
Case Study: Dartmouth Health Achieves 101.6% of Cash Collection Goal Over 8-Year Partnership
Monthly reconciliation within the large healthcare system had become unpleasantly burdensome. With over 250 systems and practices, the healthcare company needed a platform that would support growth, manage multiple payments types and reconcile to more than one bank, while maintaining a single source of truth for audit and compliance. This case study presents challenges Dartmouth…
Digitizing the procure-to-pay process helps reduce costs, improve supplier relationships
As hospital management has become increasingly digitized, it’s not only possible but also more cost-effective to integrate purchasing and accounts payable systems into a streamlined procure-to-pay (P2P) process, so the multiple hospital departments involved in obtaining and paying for goods and services can do so more efficiently. The right P2P solutions can also help drive…
Maximizing a remote RCM workforce through technology and transparency
As revenue cycle management (RCM) leaders continue to adapt to the shifting dynamics driven by the pandemic, many are still struggling to effectively manage their new work-from-home (WFH) employees. And with the current workforce shortage situation top of mind for these leaders, the need to offer remote or flexible work environments has become crucial to…
Addressing the Rising Patient Payment Obligation: Impact and Strategies amid today’s challenging healthcare environment
In the Fall of 2021, CommerceHealthcare® sponsored a focused survey conducted by the Health Management Academy (HMA), an organization for executives from the nation’s top health systems and leading companies. The HMA survey involved both quantitative polling and in-depth telephone interviews to explore current issues in patient financial experience. This report combines those findings with…