Read the following articles featured in the July/August 2019 issue of HFMA’s Revenue Cycle Strategist newsletter.
Sharp Healthcare’s decision to allow payer access to its data means that staff no longer spend time gathering and submitting clinical information to justify a level-of-care authorization request. Instead, Sharp enjoys “presumptive approval” for requests, speeding up the entire revenue cycle.
Laura Ramos Hegwer
A critical factor in shifting consumer behavior is creating more compelling incentives, says Sally Rodriguez of the Health Care Cost Institute.
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?
Revenue cycle management
From our Sponsor, Parallon
A regular KPI review process will allow revenue cycle leaders to identify problems and develop a plan for remediation.
Utilization review should work as part of a productive whole, alongside many other areas, says a former Cleveland Clinic finance executive. The function can report to finance, administration, operations, and even patient experience.
Figure at a glance
The shifting healthcare landscape is turning more patients into payers.