HFMA
About the Author
HFMA
Latest Work
Ask the Expert: Patient Responsibility Estimation
Advice for revenue cycle leaders on approaches for estimating patient responsibility.
Ask the Expert: Setting Industry Standards for Call Center Activities
Advice for revenue cycle leaders on how they should establish standards for call center activities based on their specific processes.
Tool: 5010 Checklist
A checklist to help your organization transition from 4010 to the 5010 transaction set by Jan. 1, 2012.
Tool: Comprehensive Revenue Cycle Flowchart
Brian Vander Mey compiled input from his peers and his own research into a flowchart that documents revenue cycle processes-for providers and payers-from beginning to end.
Managed Care Ask the Expert Answer – Robotic Surgery
Q Are commercial payers paying for additional charges billed by hospitals for robotic surgery? At least one payer that pays on a % of charges basis is not paying the charges for the robotic surgery, additional OR time, etc. and
Managed Care Ask the Expert Answer – Payer Report Card
Q We are beginning to develop a Payer Report Card and instead of "creating the wheel" do you have a report card that you have already developed that you would be willing to share with us? A Similar to your
Managed Care Ask the Expert Answer – Medical Cost Trends
Q I have a question that I am hoping you can answer. What is medical cost trends for the private sector in 2010? I know that the Costs were expected to grow 9.6% in 2009 compared with 9.9% in 2008.
Ask the Expert Answer: Fiscal Intermediary and Medicare Bad Debt
Q Our FI is currently disallowing our Medicare bad debts which we claimed and wrote off in accordance with our charity care policy. We believe our Medicare deductible copay amounts that we did not collect because the patient was indigent
Ask the Experts – Medicare Payment
Dale BakerDale E. Baker is the President of Baker Healthcare Consulting, Inc. (BHC), an Indianapolis based consulting firm serving over 1,000 acute care hospital clients in forty four states since 1990. BHC specializes in advising clients on Medicare geographic reclassification
Ask the Expert: Hourly Documentation for Observation Status
Q "At one point, I heard rumors that CMS was going to require hourly documentation by nursing to support Observation status. I feel as if this did not go forward, but have no hard documentation that it remains at every