HFMA
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HFMA
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Navigating medical necessity denials: Strategies for successful resolution
Just as hospitals, health systems and physician practices are dealing with unprecedented financial and operational challenges, denied claims continue to rise — especially medical necessity denials. The impact on providers and patients is significant. Medical necessity is the term used to describe “healthcare services or supplies needed to diagnose or treat an illness, injury, condition,…
Healthcare Financial Management Association calls Patient Rights Advocate’s latest price transparency compliance report ‘irresponsible’
CHICAGO (March 7, 2024) – Long an advocate for consumerism and price transparency in healthcare, the Healthcare Financial Management Association (HFMA) today called the latest report from Patient Rights Advocate (PRA) “irresponsible” and “incorrect.” HFMA has maintained that to be effective, price transparency must offer clear information that is readily accessible to patients to enable them to…
Health Systems near their breaking point. Labor costs continue to increase while dollars collected from payers decrease.
CHICAGO — March 6, 2024 — Eighty four percent of health systems cite lower reimbursement from payers as a top cause of low operational margins, according to a report published by the Healthcare Financial Management Association (HFMA) and Eliciting Insights, a healthcare strategy and market research company. Further confounding health system margin struggles is the increased administrative…
PMMC provides organizations with the tools and the knowledge to maximize their net revenue
Learn how PMMC's revenue cycle software and services improves the financial performance of healthcare providers to have more resources devoted to patient care.
The importance of digital transformation in a fraudulent environment
In this recently conducted survey, more than 85% of responding hospital financial executives said they are somewhat concerned (65.96%) or very concerned (19.15%) about potential AI-influenced fraud, including account takeovers and eventually payment fraud.
How digital patient engagement solutions can help healthcare organizations improve their existing revenue cycle
This roundtable features various healthcare professionals who breakdown what digital patient engagement solutions are being implemented and how this not only empowers patients, but also helps organizations looking to improve their existing revenue cycle.
While increasing revenue is a top goal for 2024, improving the patient experience is a close second — specially for large health systems: HFMA poll
In a recently conducted survey, 70% of 92 respondents said increasing revenue is a top priority in 2024 followed by improving the patient experience (60%) and reducing costs (55%). Review other key findings in this research report.
Healthcare Finance Trends for 2024
Download this eBook to see details of the 10 financial trends that will shape 2024 for hospitals and health systems across the country.
How to Optimize Your Revenue Cycle through In-depth Assessment and Strategic Process Improvements
By adopting a comprehensive approach that includes regular assessment, process optimization, staff education and measurement, healthcare organizations can enhance efficiency, reduce costs and ultimately improve their financial health. Download this report to learn more.
Temple Health: Vendor-Neutral Managed Services Program Revolutionizes Staffing Operations & Cost Management
This case study focuses on how AMN Healthcare partnered with Temple University Health System to seek clarity on staffing and cost inconsistencies amid rising patient demand to build a more balanced workforce. Download the white paper to learn more details.