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How leveraging artificial intelligence in utilization management can enhance your revenue cycle
This white paper dives into how AI will help make healthcare sustainable and provide more of a focus on patient care. The goal is to decrease industry challenges and create new efforts to reduce the administrative cost of healthcare.
Remedy for 340B-Acquired Drug Payment Policy Proposed Rule Summary
FMA presents a detailed summary of the proposed rule describing the Agency’s proposed actions to craft a remedy relating to the adjustment of Medicare payment rates for drugs acquired under the 340B Program from calendar 2018 through September 27, 2022.
4 opportunities to improve mid-cycle revenue operations
The quality of a hospital’s revenue cycle processes directly impacts the health of its bottom line. In an age of stagnant margins, hospitals should do all they can to improve revenue cycle efficiency. The mid-cycle—that critical phase between patient registration and claims submission — is a great place to start. Numerous challenges arise during this…
Kenneth Stoll Receives HFMA Individual Achievement Award
Nashville, Tenn. (June 27, 2023) – The Healthcare Financial Management Association (HFMA) today presented Kenneth Stoll with the 2023 Frederick C. Morgan Individual Achievement Award, honoring career-long contributions to HFMA and to the healthcare finance profession. Stoll has been vice president of strategic accounts at RevSpring, based in Nashville, since January 2020. He previously held…
James Heffernan Receives HFMA Individual Achievement Award
Nashville, Tenn. (June 27, 2023) – The Healthcare Financial Management Association (HFMA) today presented James L. Heffernan, FHFMA, MBA, with the 2023 Frederick C. Morgan Individual Achievement Award, honoring career-long contributions to HFMA and to the healthcare finance profession. Heffernan was the senior vice president of finance and treasurer of the Massachusetts General Physicians Organization…
New HFMA Chair Dennis Dahlen and other directors take office
Nashville, Tenn. (June 27, 2023) – The Healthcare Financial Management Association (HFMA) today inducted Mayo Clinic Chief Financial Officer Dennis E. Dahlen, FHFMA, MBA, CPA, into office as Chair of its Board of Directors for the 2023-24 term, which began on June 1, 2023. In his role as the chief elected officer of HFMA, Dahlen…
15 winners receive the 2023 MAP Award for high performance in revenue cycle
Chicago, June 25, 2023 – The Healthcare Financial Management Association (HFMA) announced the 2023 winners of the MAP Award for High Performance in Revenue Cycle, including an integrated delivery system, four hospital systems, three individual hospitals, two critical access hospitals and five physician practices. HFMA’s MAP Award for High Performance in Revenue Cycle recognizes providers that have excelled in…
Denials Management Research Report
HFMA, with sponsorship from Waystar, surveyed 415 healthcare finance and revenue cycle executives to understand how denials are affecting their revenue cycle operations.
Survey reveals 5 opportunities to tackle denial prevention and management
In this survey, responses found when organizations devote greater resources to denial management than to denial prevention, their rate of first-pass denials is higher: 13.6% versus 10.9%.
Medicaid Drug Misclassification Proposed Rule Summary
The rule proposes to implement policies in the Medicaid Drug Rebate Program (MDRP) related to legislative requirements addressing drug misclassification, as well as drug pricing and product data misreporting by manufacturers.