Hospitals and Congress propose improvements to prior authorization processes in Medicare Advantage
The American Hospital Association says pending regulations that would affect prior authorization should be expanded to include Medicare Advantage.
Healthcare News of Note: Healthcare insurers owe hospitals billions of dollars in payments and are putting more patients in a bind with retroactive claim denials, says Kaiser Health News
Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: Insurers are behind in billions of dollars in payments to hospitals, the strain on clinicians and staff grows amid the pandemic, and CFO duties involve more digital activities and investor relations.
Strategic partnership: The key to improved patient experience and revenue cycle outcomes
One company shares advice and trends in addition to how its service offerings can hep healthcare organizations facing challenges, the biggest being people, process and technology.
Revamping prior authorization: How AI and automation could boost care and revenue
Prior authorization is the most time-consuming transaction for medical providers, taking up to an hour to complete manually. Find out how providers and health plans can save up to $417 million annually be automating prior authorizations.
Autonomous coding, it won’t hurt a bit with CodaMetrix
Coding at hospitals and health systems can take hours each day and can cost up to $7 billion in one year. However, one company encourages its use of artificial intelligence technology to reduce both cost and time of coding.
Survey: Hospitals and health systems prioritize automation technology and cybersecurity to battle pandemic
Most hospitals and health systems have yet to fully utilize automation technology, per an HFMA survey. Based on this research, one company broke down key takeaways such as top priorities for reduced spending including supply chain, IT and revenue cycle management.
How to engage with patients where they are by balancing automation with the human touch
As provider organizations develop sophisticated automated systems, they should also make sure patients always have an opportunity to talk with a real person in the organization, because patients tend to be drawn to organizations where they feel a personal connection. Providers should address this patient need by having dedicated staff whose role is to personally engage with patients.
Financing digital transformation during COVID-19 and beyond
In this executive roundtable, a handful of revenue cycle and technology leaders review ROI, cybersecurity, employee engagement and more in healthcare finance.
Analyzing pre-payment and point-of-service collections efforts
Important learnings from a June 2019 HFMA Annual Conference intercept survey about how hospitals and health systems are making strides in proactively collecting patient payments.
Healthcare News of Note: Black patients experience higher rates of adverse patient events relative to white patients, study says
Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: Black patients experience more adverse patient safety events compared with white patients, telemedicine leads the VC-funded digital health category in 1H 2021, and 10% of the unvaccinated are taking a wait-and-see approach.