HFMA Peer Review
Peer Reviewed by HFMA is an earned distinction recognizing healthcare business products and services that have achieved superior ratings through a rigorous, independent evaluation process.
Find Products and Services Vetted by Your Peers
The HFMA SHORT LIST features healthcare business products and services that have earned superior ratings through HFMA’s rigorous Peer Review process. Evaluated for quality, reliability, customer service and value, these offerings can help you make more informed purchasing decisions.
Put Your Product or Service Through Peer Review
Differentiate your product or solution with a designation earned through a rigorous evaluation of customer satisfaction, quality, reliability and performance. Solutions that successfully meet HFMA’s Peer Review criteria earn a place on the SHORT LIST, strengthening credibility with healthcare finance decision-makers.
What is Takes to Earn HFMA’s Peer Review Designation
Market Feedback
Input from customers, prospects and peer reviewers
Earned Designation
Awarded to qualifying solutions
The SHORT LIST: Solutions That Have Earned HFMA Peer Review
Each product and service on the HFMA SHORT LIST has earned the Peer Reviewed by HFMA designation by achieving superior ratings through a comprehensive evaluation process. This distinction recognizes demonstrated performance in areas including quality, reliability, customer service and value.
Explore HFMA Peer Review
Understanding Peer Review Short List Product Categories
- AP/Corporate Payment Solutions: Systems and services that automate and manage an organization’s accounts payable processes, including invoice processing, vendor payments (e.g., ACH, virtual cards), and expense management, specifically tailored for healthcare operational needs.
- Banking/Financial Services: Financial institutions and services providing specialized solutions for healthcare organizations, such as treasury management, lines of credit, equipment financing, real estate loans, investment banking, and revenue cycle support.
- Benchmarking/Performance Management: The process of comparing a healthcare organization’s financial, operational, and clinical performance metrics against industry peers or best practices to identify areas for improvement and track progress towards goals.
- Billing Compliance/Fraud & Abuse: Adherence to federal, state, and payer regulations governing medical billing, and the prevention, detection, and correction of intentional deception (fraud) or practices inconsistent with accepted standards (abuse) that result in improper payments.
- Coding: The translation of medical diagnoses, procedures, services, and supplies into universal alphanumeric codes (e.g., ICD-10, CPT, HCPCS) used for patient records, billing, and data analysis.
- Collection & A/R Debt Recovery: Processes and strategies used by healthcare providers to collect overdue patient balances (Accounts Receivable), including internal efforts and the use of third-party agencies for debt recovery.
- Decision Support: Tools and systems, often Clinical Decision Support Systems (CDSS), that analyze patient and financial data to provide insights and recommendations, helping clinicians and administrators make informed decisions regarding patient care, resource allocation, and financial management.
- Denial Management/Third Party Recovery: The process of identifying, analyzing, appealing, and preventing denied claims from payers, as well as identifying and pursuing payment from liable third parties (e.g., accident insurance) when applicable.
- Early Out/Self Pay: A collections strategy where patient accounts (often for uninsured/self-pay patients) are placed with a third-party vendor early in the delinquency cycle, typically offering payment plans or discounts before the account ages significantly or goes to bad debt.
- Enterprise Resource Management & ERP: Integrated software systems used by healthcare organizations to manage and automate core business functions like finance, accounting, supply chain, human resources, and potentially aspects of patient management, improving data flow and efficiency.
- Operations/Clinical Performance Management: The systematic monitoring, evaluation, and improvement of healthcare delivery processes (operations) and patient care quality/outcomes (clinical performance) using data and analytics to drive efficiency and effectiveness.
- Patient Access/Eligibility: The front-end functions of the revenue cycle focused on patient registration, scheduling, insurance verification, pre-authorization, and determining patient eligibility for services and benefits.
- Patient Accounting/Revenue Cycle Systems: Software and systems used to manage all aspects of the patient financial journey, from charge capture and billing to payment posting, collections, and reporting; often used interchangeably with Revenue Cycle Management (RCM) systems.
- Patient Financial Experience: The patient’s overall perception and interaction with the financial aspects of their healthcare, including price transparency, understanding bills, payment options, financial counseling, and ease of payment.
- Patient Financing: Programs, often offered through third-party companies, that allow patients to pay their out-of-pocket medical expenses over time through structured payment plans, making healthcare more affordable.
- Reimbursement: The payment received by healthcare providers from payers (like Medicare, Medicaid, commercial insurance) and patients for the medical services and procedures delivered.
- Revenue Cycle Outsourcing: Contracting with an external company to manage specific parts or the entirety of a healthcare organization’s revenue cycle functions, such as billing, coding, collections, or denial management.