Bad Debt

With a new rule, CMS looks to crack down on states’ Medicaid disenrollment processes

In its latest effort to stem the ongoing wave of Medicaid disenrollments, CMS issued regulations describing its authority to penalize states for disregarding federal guidelines pertaining to the end of continuous-enrollment requirements. Published Dec. 6 in an interim final rule with comment period, the regulations took effect immediately and were based on provisions passed by…

Nick Hut December 11, 2023

As anticipated, the start of the Medicaid unwinding process has taken a toll on coverage

Fears among healthcare policymakers that the end of the COVID-19 public health emergency would sow chaos in Medicaid have been realized, leading the Biden administration to intensify its mitigation efforts. The end of Medicaid continuous-enrollment provisions is affecting the program in many states. In 21 states that had begun the “unwinding” process since April 1,…

Nick Hut June 15, 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

Healthcare Blame Game, the podcast: First episode is here!

The much-anticipated pilot episode of the “Healthcare Blame Game” podcast is now live and available to HFMA members. In this episode, HFMA Chief Content Executive Brad Dennison and Executive Producer Erika Grotto question the methodology and narrative of a recent Kaiser Health News investigation.

Erika Grotto April 11, 2023

Here comes the Medicaid unwinding: The healthcare industry braces for coverage disruptions

A potentially tumultuous period for revenue cycle teams in particular and the U.S. healthcare system in general begins April 1, with the phasing out of a three-year run of Medicaid continuous enrollment. The so-called Medicaid “unwinding” originally was connected to end of the COVID-19 public health emergency (PHE), which is scheduled for May 11. But…

Nick Hut March 15, 2023

Monument Health revamps its revenue cycle leadership structure for the benefit of patients and the organization

Looking to break through the cultural silos that can hamper operations at hospitals and health systems, Monument Health has engineered a new brand of clinical-finance collaboration. Headquartered in Rapid City, South Dakota, the community-based health system established a dyad leadership structure in which a clinical leader has joint oversight of the revenue cycle. It’s a…

Nick Hut February 28, 2023

Professional Credit eases the collections process for both staff and healthcare consumers

Debt collections are often the last communication touch point a patient has, and health systems should ensure their business partner is representing the organization in the best possible manner. See how one company eases the collections process for staff and consumers.

HFMA January 30, 2023

Hospitals have options for effectively managing complicated reimbursements

How can health systems and patients both win when it comes to payment? Read this article to learn how hospitals can maximize collections and get paid for provided services on top of how patients can identify source of payment that is not out of pocket.

HFMA January 26, 2023

Healthcare News of Note: The Walmart Healthcare Research Institute could bring more diversity to medical research

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: Walmart launches a new healthcare research institute, people with more chronic disease are more likely to suffer adverse financial outcomes, and one-third of Black Californians say they have experienced racism by a healthcare provider.

Deborah Filipek October 17, 2022

Hospitals can recover all eligible Medicare bad debts by automating the Medicare bad debt review process

One company addresses the challenges of complex rules regulating Medicare bad debt processes and reporting, which makes payment recovery for hospitals difficult.

HFMA August 31, 2022
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