Revenue Cycle Insights: February 2022
This month's issue leads off with the news that the federal government is taking a look at provider billing in the COVID era through audits by the Office of Inspector General.
Large analysis of hospital websites finds little compliance with price transparency regulations
Fewer than 15% of hospitals are fully compliant with federal price transparency regulations, according to an analysis.
Revenue Cycle Insights: January 2022
January's issue of Revenue Cycle Insights includes a lot on what's happening with the new surprise billing regulations.
No Surprises Act inspires short-term and long-term operational areas of focus
The rush may be over, but the race has just begun. After sprinting to implement the requirements of the No Surprises Act by the Jan. 1, 2022, deadline, providers must now shift attention to refining their processes for what lies ahead. Assuming familiarity with the law’s key requirements, providers and facilities are focused on the…
New surprise billing regulations: Assessing a patient’s network status will be a key challenge
With new surprise billing regulations in place, providers should seek to implement efficient processes for gauging whether a patient is in-network.
Studies find glaring issues with federal price transparency requirements
The first year of federal price transparency regulations for hospitals hasn’t had high rates of compliance, nor has it consistently led to actionable information for consumers, according to two new studies.
New surprise billing regulations: How providers should be preparing to fulfill the pending requirement about good-faith estimates
Providers have had a mere three months to implement the processes needed to comply with a new requirement to provide uninsured patients with good-faith estimates in advance of services.
Healthcare News of Note: Youth mental health-related emergency department visits are on the rise as a result of the pandemic
Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: Mental health-related ED visits increase for children and teens, hospital volumes are nearly at 2019 levels, and TransUnion Healthcare sees a 55% increase in financial assistance requests in a 12-month period.
CMS makes templates available to help with aspects of the new surprise billing regulations
CMS has published templates and resources that can guide healthcare providers in implementing some of the surprise-billing requirements that take effect in January.
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.