OIG calls out issues with denials of payment and services in Medicare Advantage
Medicare Advantage processes related to prior authorization hamper beneficiaries’ access to medically necessary care, according to a new report from the HHS Office of Inspector General.
Cost Effectiveness of Health Report, April 2022
The April 2022 edition of HFMA’s Cost Effectiveness of Health Report includes a preview the May issue of hfm, which focuses on telehealth, a key tool for promoting value-based care CEoH. Another article explores ways to promote health equity in revenue cycle processes, and a case study describes how one health system embarked on an initiative to achieve greater diversity among its revenue cycle staff.
More than 2 years into the pandemic, the issue of deferred care continues to affect the healthcare industry
Concerns about the implications of deferred care continue to grow as healthcare organizations establish their strategies for a post-pandemic landscape.
Staff, patients, benchmarks have the attention of rev cycle leaders
5 takeaways from HFMA’s Revenue Cycle Conference
Understanding the Healthcare Revenue Cycle Process
Revenue cycle management is the process used by healthcare systems to track the revenue from patients, from their initial appointment or encounter with the healthcare system to their final payment of balance. The most effective revenue cycle teams focus on price transparency, supporting equitable access to care, financial conversations with patients, documentation of care received, claim processing, and medical account resolution.
The pandemic isn’t the only reason for deferred care: Many transgender adults regularly forego care due to discrimination in healthcare settings
People defer care for many reasons. HFMA Chair Tammie Jackson shares how to make patients feel welcome and promote health equity, focusing on transgender adults.
Exploring opportunities to improve provider-payer data exchange
Revenue cycle leaders share strategies and the benefits for effective data exchange between providers and payers, as well as the challenges in this executive roundtable.
Healthcare provisions in massive legislation could improve care access but also reduce federal funding for some hospitals
In pending legislation, reductions to disproportionate share hospital payments would be used to subsidize commercial insurance for low-income residents of states that haven’t expanded Medicaid.
A New Era of Health Consumerism & Flexible Financing
The American healthcare system is experiencing significant shifts, moving past long-standingnorms. Health consumers increasingly want the new point-of-purchase financing options synonymous with today’s retail experience for their healthcare. Hospitals and health systems are turning to flexible financing solutions to meet today’s health consumers wherethey are,helping themplan forthe carethey needwithin theirbudgets.
Annual Conference Day 3: Former VA Secretary David Shulkin explains what the healthcare industry can learn from a government agency
At HFMA’s Annual Conference, David Shulkin, former secretary of the Department of Veterans Affairs, explained why some of the VA’s strategies would serve the healthcare industry well if implemented in the private sector.