HFMA

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HFMA

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Early, Transparent Financial Communications

A PATIENT FRIENDLY BILLING® Project Recommended Practice. This statement specifically addresses patients' rights to understand and prepare for their financial obligation at the earliest point possible in the care experience. 

HFMA October 25, 2012

Ask the Expert: Real-Time Coding Scrubber

This Revenue Cycle Forum Ask the Expert question asks if there is a real-time coding scrubber option out there.

HFMA October 25, 2012

Ask the Experts Answer: Cost-to-Collect Calculations

Q: We are basing staffing decisions on your benchmark of 2% of collections for cost-to-collect. Would you explain how you arrived at this percentage? We would like to obtain the facts and background that went into that research since it will be utilized at our facility for important decisions.

HFMA October 25, 2012

Ask the Experts Answer: Urgent Care Center

Q: We are opening an urgent care center that will be hospital-based. The consulting team that is setting-up the billing suggests that we have two different charge slips and two different prices -- one for self pay and one for insurance patients. I am not comfortable with this recommendation and would like guidance on charging two different prices. 

HFMA October 25, 2012

Ask the Experts Answer: Provider Refunds for Insured Patients

Q: Do you know of any policy/legislation or general practices regarding a provider refunding a payer if the patient was authorized but then later found by the payer to be uncovered because they are secondary?

HFMA October 25, 2012

Ask the Expert Answer: Calculating Cost-to-Collect

We are basing staffing decisions on your benchmark of 2% of collections for cost-to-collect. Would you explain how you arrived at this percentage? We would like to obtain the facts and background that went into that research since it will be utilized at our facility for important decisions.

HFMA October 25, 2012

Ask the Experts Answer: Billing for Urgent Care Center

We are opening an urgent care center that will be hospital-based. This is a new venture for our hospital. The consulting team that is setting-up the billing suggests that we have two different charge slips and two different prices -- one for self pay and one for insurance patients. I am not comfortable with this recommendation and would like guidance on charging two different prices.

HFMA October 25, 2012

Ask the Experts Answer: Industry Standard Off-Billed Charge

We are a niche DME provider trying to set a patient pay rate for those who are either under insured, don’t have insurance or are out-of-network. What would an industry standard discount off-billed charge look like for those without benefits and when we don’t incur the cost to bill the third party?

HFMA October 25, 2012

Ask the Expert Answer: Staffing Ratio for Primary Care Practice

Is there data available on the ideal staffing ratio for a primary care practice?

HFMA October 25, 2012

Ask the Experts Answer: Charge Tickets

How long should we keep charge tickets in the ambulatory care setting?

HFMA October 25, 2012