4 tips for simplifying prior authorizations
Healthcare spending in the U.S. has reached what many consider to be unsustainable levels. While spending in other developed nations averaged 8.8% of GDP in 2019, it was nearly double that in the U.S. at 16.8%. One of the major contributors to this spending is administrative waste, which accounts for up to 30% of our…
How to automate revenue cycle operations to improve revenue and reduce resource dependency
Even with an increased focus on automation in the industry, too many revenue cycle operational processes remain highly manual and resource intensive. This is especially true for mid-cycle processes. Manual data entry, such as coding, leaves significant room for error and takes longer to complete, leading to slower reimbursement and ultimately impacting the bottom line. Automation…
How to protect your revenue cycle on the road to price transparency compliance
While the CMS hospital price transparency rule has been in place for more than a year now, the vast majority of hospitals are still noncompliant.
Revenue cycle automation helps health systems regain financial footing during COVID-19 and beyond
Bots and other forms of automation are helping hospitals keep up with the revenue cycle at a time when resources are limited.
How four health systems are using revenue cycle management robotics
Health system executives say that they were already using automation before the pandemic, and the pandemic led them to speed up the adoption process.
HFMA recognizes the 2020 winners of the MAP Award for revenue cycle excellence
During Day 4 of the Digital Annual Conference, HFMA recognized the 23 winners of the 2020 MAP Awards.
4 proven strategies for optimizing revenue cycle performance
Hospitals revenue cycles can all too often experience denied claims and delayed payment due to outdated manual processes and workflow inefficiencies. Hospital revenue cycle leaders can address these problems with a sharper strategic focus on submitting clean claims, managing denials, applying analytics and outsourcing.
Revenue Cycle Insights June 2022
Hospital pricing and surprise billing remain hot topics, with Senior Editor Nick Hut outlining some recent reports on the subject. And Jonathan Blum, of CMS, describes how the industry is reacting to the agency’s new regulations of price disclosure and surprise billing, in a podcast with Joe Fifer, CEO of HFMA.
Utilization review staff may be hurting results when fixing incorrect inpatient admissions
There's a clear financial winner when choosing a method for correcting an incorrect inpatient admission.