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?
8 KPIs for measuring Medicaid eligibility and advocacy
A regular KPI review process will allow revenue cycle leaders to identify problems and develop a plan for remediation.
Positive patient experiences lead to timely payments
The shifting healthcare landscape is turning more patients into payers.
How Texas Health Resources improved patient access and preservice revenue
The health system uses a centralized preservice financial clearance department and automated dialers to contact 98 percent of scheduled patients before they receive services.
Using artificial intelligence to improve revenue cycle operations
In God we trust; all others must bring data — W. Edwards Deming The ability to use the data aggregated throughout the revenue cycle is critical to proactive issue resolution, project prioritization, estimation of financial impact of revenue cycle initiatives and forecasting. However, data analysis at each stage of the revenue cycle is dependent on…
Data Integration Challenges Prevalent with Outside Vendors
Today’s revenue cycle increasingly relies on external business partners to process payments. Unfortunately, passing accounts back and forth from the business office to outsourced vendors brings data integration challenges. Often, reconciliation issues occur when the same account is in multiple locations such as with the hospital and the outsourced vendor. This breakdown in inventory integrity…
A deeper dive into risk-adjustment coding
Common coding pitfalls and best practices for accountable care organizations are discussed in this Q&A.