Capturing All Charges: the Operational Reality
Cathy Smith of The Claro Group writes that healthcare organizations should strive for an effective, holistic charge capture approach that covers both processes and tools.
Revenue Cycle Strategist September 2019
HFMA's Revenue Cycle Strategist newsletter's September 2019 issue includes articles on price transparency, revenue cycle digital transformation, chargemaster, revenue integrity and rising patient out-of-pocket costs.
Revenue integrity — minding the gaps between clinical operations, coding and billing
In an industry where “no margin means no mission,” revenue integrity is emerging as a tool and an initiative to enhance margin and preserve the mission of health systems.
2018 patient out-of-pocket costs increase 12%
A recent analysis found that about 59% of patients in 2018 had an average out-of-pocket expense between $501 and $1,000 during a healthcare visit. This was a dramatic increase from 39% in 2017.
8 tips to identify potential issues with the chargemaster
Reviewing billing edits and claim denials, as well as scheduling quarterly chargemaster reviews can help healthcare providers proactively identify potential challenges.
Revenue Cycle Strategist: May 2019 Issue
Subscribers to Revenue Cycle Strategist may access the individual articles below. Patient Access How Texas Health Resources improved patient access and preservice revenue BY LOLA BUTCHER The health system uses a centralized preservice financial clearance department and automated dialers to contact 98 percent of scheduled patients before they receive services. Web extra: Texas Health Resources preregistration pamphlet Patient…
Revenue Cycle Strategist July/August 2019
The July/August 2019 issue of Revenue Cycle Strategist newsletter features articles on payer EHR integration, price transparency, chargemaster strategies and KPIs for Medicaid eligibility.
Revenue Cycle Strategist June 2019
HFMA's Revenue Cycle Strategist newsletter June 2019 issue features articles on value-based payment, coding and Medicaid regulations.
Revenue Cycle Strategist: April 2019 Issue
Subscribers to Revenue Cycle Strategist may access the individual articles below. Patient Access Northwell Health Tackles Patient ID Matching BY LOLA BUTCHER Patient-identification-matching problems increase as the healthcare industry consolidates, but patient-matching solutions are available to reduce the backlog of duplicate records as an intensive effort by one health system proves. Coding Q&A Coding Denial Trends—How to…
Healthcare leaders should re-envision the revenue cycle as a driver of value
HFMA President and CEO Joseph J. Fifer explains why hospital and health system leaders should frame the revenue cycle as a value driver rather than as a cost center.