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 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.
HFMA Survey: OP Data Capture
HFMA is seeking input on your hospital's ability to group/capture APC data. This information is crucial to the work of HFMA’s chargemaster taskforce and will help HFMA provide guidance to CMS on transparency initiatives.
HFMA Survey: Chargemaster Costing Capabilities
HFMA is gathering information to understand hospitals' costing capabilities at the inpatient discharge and outpatient visit/service level.
Analysis: Out-of-pocket costs increased faster than wages in 2018
The latest TransUnion Healthcare report shows a 12% increase in patient out-of-pocket costs while wages grew only 3%, proving the need for hospitals and health systems to engage patients in a discussion about their out-of-pocket responsibility.
Chargemaster reviews promote outpatient revenue integrity
We are experiencing increased denials and loss of revenue as a result of chargemaster issues related to outpatient services coding. What steps can we take to identify the issues and clean up the chargemaster?