David Johnson: A case study in today’s revenue cycle dystopia
Vendor pronouncements that AI technologies can transform the healthcare revenue cycle are commonplace and overblown. While both health systems and suppliers want to believe that AI can be their savior, there are limits to how it can improve payment mechanics between commercial health insurers and providers. No revenue cycle company flew closer to the sun…
The art of digital delegation
Nick Hut and Shawn Stack discuss price transparency regulations, and Erika Grotto talks with Stuart Newsome from Infinx about AI in revenue cycle.
Tribal health challenges provide lessons for healthcare organizations
Laura Osborne and John Reeves discuss the unique challenges of tribal health and what other healthcare organizations can learn from their experiences.
Premier’s AI platform offers a data-driven solution for medical group leaders
Learn about how Provider Practice Benchmarking allows medical group leaders to directly measure their performance across more than 150 physician and advanced practitioner specialties in a number of areas from a single reporting platform.
How one health system focused on revenue cycle staff education to improve its denial rate
Many longtime revenue cycle leaders can recall a simpler time when insurance companies sold plans that were broadly accepted by providers in their service areas. Back then, hospitals provided services to patients, billed their health insurance plans and expected relatively prompt payment. This is no longer true. Today’s revenue cycle team members must be knowledgeable…
Hospital payments have been substantially affected by the Change Healthcare cyberattack, report finds
Newly published data reflect the extent of the payment loss experienced by hospitals and health systems during the first month or so after the Change Healthcare cyberattack. A report (registration required) published in mid-May by Strata finds that gaps in expected revenue ranged from 16.5% to 17.9% per hospital for Q1. The insights were culled…
Demonstrating revenue cycle excellence just got easier with the newest HFMA certification
The Executive of Healthcare Revenue Cycle (EHRC) certification, HFMA’s newest member recognition, has been quite popular with members since it was announced in mid-February. As of March 31, 22 HFMA members had applied for the EHRC certification and 18 members earned it, demonstrating excellence in revenue cycle, said Shirley Heavlin, certification operations manager for HFMA.…
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.
Healthcare Blame Game: Patient Rights Advocate’s distortion of price transparency regulations and data, and the ad campaign that’s catching attention
Patient Rights Advocate (PRA) has engaged hip hop artists like Fat Joe, Busta Rhymes and Method Man in its “Power to the Patients” campaign, claiming that regulations around price transparency are not being enforced, allowing hospitals to hide their prices and “charge whatever they want.” On this episode, HFMA Policy Director Shawn Stack and Ruth Lande, vice president of hospital relations at RIP Medical Debt, discuss PRA’s misinterpretation of price transparency regulations and hospital pricing.
5 reasons to apply for a prestigious MAP Award for revenue cycle performance
For more than a decade, HFMA’s MAP Award for High Performance in Revenue Cycle has become the highest honor in the healthcare industry for revenue cycle excellence. If that’s not enough of a reason to apply for the chance at these accolades, here are five reasons why past winners apply year after year. 1. Bragging…