Navigating medical necessity denials: Strategies for successful resolution
Just as hospitals, health systems and physician practices are dealing with unprecedented financial and operational challenges, denied claims continue to rise — especially medical necessity denials. The impact on providers and patients is significant. Medical necessity is the term used to describe “healthcare services or supplies needed to diagnose or treat an illness, injury, condition,…
PMMC provides organizations with the tools and the knowledge to maximize their net revenue
Learn how PMMC's revenue cycle software and services improves the financial performance of healthcare providers to have more resources devoted to patient care.
How digital patient engagement solutions can help healthcare organizations improve their existing revenue cycle
This roundtable features various healthcare professionals who breakdown what digital patient engagement solutions are being implemented and how this not only empowers patients, but also helps organizations looking to improve their existing revenue cycle.
While increasing revenue is a top goal for 2024, improving the patient experience is a close second — specially for large health systems: HFMA poll
In a recently conducted survey, 70% of 92 respondents said increasing revenue is a top priority in 2024 followed by improving the patient experience (60%) and reducing costs (55%). Review other key findings in this research report.
How healthcare finance organizations are working to become more resilient
Seven healthcare financial executives share their strategies for tackling the challenges of financial management in the current environment in this roundtable.
Most healthcare organizations will embrace two-sided value-based care models in 2024, but many do not have clearly defined protocols to assess new opportunities
Read this article for various lessons and questions to consider before entering a value-based care contract.
Using analytics effectively to drive margin improvement
Participants of an HFMA Executive Roundtable held June 27 discuss how healthcare providers are taking steps to encourage data sharing among units and create a single source of truth for operational and patient data.
Understanding the true cost to collect requires focusing on high-level KPIs
Revenue cycle management leaders from around the country share their perspectives on defining and maintaining a high-performance revenue cycle and the challenges they face in working to enhance revenue cycle management.
Deploying EPM in the cloud: 6 steps that drive value
Cloud-based enterprise performance management (EPM) offers tremendous potential for health systems, but the ability to drive value depends on a thoughtful approach that puts as little pressure as possible on existing resources, both technological and human.
AI-powered coding automation: The state of the art and future direction
This roundtable discussion conducted at HFMA’s 2023 Annual Conference in Nashville, Tennessee sought to understand both the opportunities and challenges that AI-powered coding automation poses for healthcare organizations.