Revenue Cycle

Healthcare News of Note: The top 5 reasons U.S. adults say the nation’s healthcare system fails to meet their needs

Nearly three-quarters of adults say the U.S. healthcare system is not meeting their needs in some way, with the length of time to get an appointment the No. 1 reason. The top benefit of using remote patient monitoring during cancer care is to keep the care team up to date on symptoms in between appointments,…

Deborah Filipek June 2, 2023

Report quantifies the financial impact of certain health plan business practices on providers

As hospitals seek to regain their financial footing coming out of the pandemic, they may find themselves stymied by commercial payer policies, according to a new report. “It’s true that commercial payers might generate more net revenue than public payers on a per-case basis,” Crowe states in a report it recently published. “But at what…

Nick Hut June 2, 2023

How healthcare organizations navigate claims processing

View the results of a survey about claims processing and revenue cycle performance conducted with more than 625 healthcare leaders.

HFMA May 30, 2023

Leveraging extensible technology to create consumer-centric healthcare ecosystems

Implementing new technologies can eliminate tedious tasks and open the door for more impactful work as well as provide patients with easier access to convenient scheduling, registration and billing options. Dive into this roundtable for additional insight on technologies progressing the industry.

HFMA May 30, 2023

Healthcare providers seeing more diagnosis-related group downgrades and ghost denials

Each year, tens of millions of medical claims will be denied by healthcare payers. One executive director led a session with more than a dozen attendees highlighting their experiences with DRG downgrades and lessons learned to help other organizations better measure, manage and successfully appeal these complex denials.

HFMA May 30, 2023

The state of Medicare Advantage: As the program grows, healthcare stakeholders express concerns

As seen during a recent virtual conference, the accelerating expansion of Medicare Advantage (MA) has been accompanied by tension over growing pains such as regulatory issues. “I think MA was set up really well, but like anything else there’s sort of a moment where you have to look at the program and say: How do…

Nick Hut May 30, 2023

Healthcare News of Note: 3 factors increase the likelihood that a physician has been sued

Some46.8% of physicians over the age of 54 report they have been sued compared to 9.5% of physicians under the age of 40. The revenue cycle management segment accounted for the largest revenue share in the global healthcare finance solutions market in 2022. Greater representation of Black primary care physicians (PCPs) in the PCP workforce…

Deborah Filipek May 26, 2023

Case Study: Dartmouth Health Achieves 101.6% of Cash Collection Goal Over 8-Year Partnership

Monthly reconciliation within the large healthcare system had become unpleasantly burdensome. With over 250 systems and practices, the healthcare company needed a platform that would support growth, manage multiple payments types and reconcile to more than one bank, while maintaining a single source of truth for audit and compliance. This case study presents challenges Dartmouth…

HFMA May 22, 2023

CMS issues RFI to gather best practices for identifying and supporting safety net hospitals

As part of the FY24 proposed rule for hospital inpatient payments, CMS is seeking healthcare stakeholder input on how to best support safety net hospitals in the Medicare program. The agency is considering ways to reimburse safety net hospitals via supplemental payments that may be better targeted than disproportionate share hospital (DSH) and uncompensated care…

Nick Hut May 22, 2023

Maximizing a remote RCM workforce through technology and transparency

As revenue cycle management (RCM) leaders continue to adapt to the shifting dynamics driven by the pandemic, many are still struggling to effectively manage their new work-from-home (WFH) employees. And with the current workforce shortage situation top of mind for these leaders, the need to offer remote or flexible work environments has become crucial to…

HFMA May 19, 2023
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