Earn recognition for your outstanding achievements in pursuing revenue cycle excellence.
Earn recognition for your outstanding achievements in pursuing revenue cycle excellence.
HFMA’s MAP Award for High Performance in Revenue Cycle recognizes organizations whose innovative and effective strategies have enabled them to achieve excellence in revenue cycle performance. There are five (5) award categories including hospitals, critical access hospitals, hospital systems, integrated delivery systems, and physician practices. Winners excel in meeting industry standard revenue cycle benchmarks (MAP Keys), implementing the patient-centered recommendations and best practices embodied in HFMA’s Healthcare Dollars & Sense™ initiatives, and achieving outstanding patient satisfaction. Award recipients are acknowledged as industry leaders and share proven strategies with HFMA members and other professionals.
Winners are determined through analysis of the publicly available MAP Keys metrics (KPIs), narrative questions, additional materials required during the application process, and selected finalist interviews.
Winners must meet or exceed performance levels based on defined, comparable revenue cycle metrics that have been widely recognized throughout the industry for completeness, validity, relevancy, and ability to support performance conclusions. The metrics used have been identified through HFMA’s KPI Task Force and have been vetted by HFMA’s National Board of Directors and National Advisory Counsels. Winners also must display through narrative response a commitment to the pursuit of evidence-based and innovative revenue cycle strategies, including elevating the quality of financial interactions with patients.
A. All acute care hospitals are eligible to apply for the individual hospital or hospital system awards, as appropriate. All physician practices, including Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs), regardless of affiliation or ownership may apply for the physician practice award. Hospital systems may apply for a hospital system award OR submit individual hospital applications for hospitals within the system. Hospital systems may not submit applications for BOTH the system and individual hospitals within the system.
An executive leader in your organization must be a member of HFMA. Note that HFMA is offering reduced membership fees for physician practices. Learn more.
HFMA requires all hospitals, hospital system and IDS applicants to have either applied for or achieved PFC Adopter status by the time they submit part two of their application. This requirement applies to all hospitals that will be included on the application. PFC Adopter status is recognized for three years, after which the organization will be asked to submit a renewal application. If during the initial application, the entire IDS has not attested to PFC best practices, it is expected that process toward further adoption be reflected on the renewal application.
You can learn more about the Patient Financial Communication Best Practices, the Adopter Recognition Program, and apply for recognition at hfma.org/communications. The application process is complimentary and requires only a few metrics and descriptions of how you are leveraging best practices in your organization. Note that PFC Adopter status is not a requirement for physician practice applicants.
Your organization does not need to be a MAP App subscriber to apply.
A. All facilities are encouraged to apply. HFMA has created an interactive online calculator, HFMA's Revenue Cycle Score, which allows hospitals, hospital systems, and physician practices to see how their revenue cycle score compares to that of previous applicants. The calculator makes application readiness recommendations based on user input across the six MAP Keys used to evaluate MAP Award applicants.
A. Yes, there is a small administrative application fee of $100 for individual hospitals, critical access hospitals, and physician practices. The fee for hospital systems and integrated delivery systems is $200.
A. The application link can be found on the MAP Award homepage when the online application system is open. You will be asked to log in or create an account.
A. There is one link to the online application. The first application question will ask you to identify the reward category you are interested in pursuing. The application will then align questions based on your response.
A. There are a few items and enhancements that applicants should be aware of when applying for a 2019 MAP Award. 1) In recent years, applicants supplied the numerator and denominator and HFMA calculated metrics. Starting this year, applicants will have direct line of sight into the metric as the online application will now calculate results. 2) While applicants are required to have achieved PFC Adopter status (see left column for added detail), this requirement has been shifted to part 2 of the application process. 3) Due to changes in the revenue recognition guidance and its impact on Bad Debt reporting, Bad Debt is being removed from the Revenue Cycle Score (RCS) model that is used to evaluate each MAP Award application. Bad Debt was previously weighted at 15% of the RCS weight; this has been reallocated across the remaining RCS metrics. The Bad Debt metric will still be collected. Two MAP Key metrics are being added as information-only keys: Insurance Verification Rate and Claim Denial Rate (authorization denials). These will be collected in addition to the 8 MAP Keys currently part of the application. 4) HFMA is adding a pair of optional metrics, Insurance Verification Rate and Claim Denial Rate (for prior authorization details only), to the hospital, CAH, hospital system and IDS applications as information-only metrics. The intent is to understand the challenges providers have in reporting these metrics as HFMA considers them for use in future application cycles.
A. Educating consumers about healthcare billing and payment, and avoiding surprise bills, is an important part of a consumer-centric revenue cycle. Please consider posting one or both of HFMA’s consumer educational guides on the relevant page of your organization’s website. No permission is needed. Posting the guides is recommended but not required for the application process.
A. Yes, however, physician practice data should be excluded from other hospital/system applications. The system application is a hospital system application and not an application for a fully integrated network of care.
A. Organizations who wish to apply as an IDS will be required to include data from all service types in their organization. No carve outs will be allowed. This also means that an organization choosing to apply as an IDS will NOT be allowed to apply for the PPM award, as one of the requirements to apply as an IDS is that all physician practice data shall be included in the IDS application. Review IDS Eligibility Criteria information.
A. The online application allows you to create a profile and auto-saves your work so you can complete the application at your own pace. Applications can also be downloaded in a printer-friendly PDF format. To ensure financial accuracy, applicants will be required to download the Metric Submission Checklist which helps validate each required metric prior to application submission.
A. Yes, the application allows you to attach supporting documentation and manage those attachments so retrieving, deleting, updating, and verifying that the attachments are included in the application is easier than ever.
A. The application process is a two-part process. The first part of the application process is the financial metric portion. The deadline for part one was February 19, 2019. If your organization qualifies for consideration for the High Performance award, you will be contacted in mid-March to submit part two of the application. The deadline for part two is April 15, 2019. Part two narrative overviews are available for individual hospitals, hospital systems, integrated delivery systems and physician practices.
A. The HFMA Review Committee, comprised of HFMA staff and industry leaders and experts in the revenue cycle, determine the winners.
A: In addition to recognition via a press release and on the HFMA website, winners are awarded a crystal trophy and at HFMA’s Annual Conference. In 2016, HFMA introduced the MAP Certificate of Recognition in Revenue Cycle Achievement. The certificate recognizes applicants who have achieved superior revenue cycle performance, as evidenced by meeting industry-standard performance benchmarks, implementing a patient-centered approach to revenue cycle, and attaining favorable levels of patient satisfaction.
A. Winners of the MAP Award for High Performance in Revenue Cycle are notified by telephone.
A. Yes. We’ve developed a template that can be customized by your organization and sent to your clients either as an email or direct mail. The content of the letter focuses on defining the program, how the award fits into HFMA’s MAP initiative, and provides the application URL so clients can learn more.