Billing and Collections

Point-of-service collection goes better if the right strategies and tactics are employed. 

Improving point-of-service (POS) collection has long been a topic of discussions across healthcare organizations struggling to meet collection goals. But the global pandemic and its aftermath have intensified the need for more effective strategies to meet this challenge while keeping a patient-centered focus. Health systems need to adopt new strategies that will support a positive…

Stacie M. Johnson, MAEd, CRCR, CSBI January 30, 2023

News Briefs: 2023 brings a steep fee hike for No Surprises Act arbitration cases

The No Surprises Act’s independent dispute resolution (IDR) process has become more expensive for healthcare stakeholders. For the new year, the nonrefundable administrative fee due from each party involved in any payment dispute that goes to arbitration increased from $50 to $350, according to a Dec. 23 memo from CMS’s Center for Consumer Information and…

Nick Hut January 27, 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

How to use analytics and automation to build an intelligent A/R strategy

Health systems seeking to improve their accounts receivable function are turning to machine learning and AI to streamline patient interactions in ways that benefit the organizations and their patients. Read the challenges and benefits of using automation health system executives discuss in this roundtable.

HFMA January 18, 2023

Medicare contractors should more closely examine providers’ bad debt claims, HHS watchdog says

Medicare administrative contractors (MACs) soon could apply more scrutiny to providers’ reported bad debts if CMS implements recommendations from the HHS Office of Inspector General (OIG). OIG in December issued a report in which it examined bad-debt reimbursement claims on Medicare cost reports spanning 2016 through 2018 for 67 randomly selected providers (including 29 hospitals). In those…

Nick Hut January 3, 2023

For the No Surprises Act arbitration process, 2023 brings a steep fee hike and continuing litigation

The No Surprises Act’s independent dispute resolution (IDR) process is about to become more expensive for healthcare stakeholders. In 2023, the nonrefundable administrative fee due from each party involved in any payment dispute that goes to arbitration will increase from $50 to $350, according to a Dec. 23 memo from CMS’s Center for Consumer Information and Insurance…

Nick Hut December 30, 2022

Healthcare News of Note: Trust in local healthcare systems’ handling of the pandemic increased during a 28-month time span

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: Trust increased in healthcare providers’ handling of the pandemic when compared with the government, working-age adults suffer financial setbacks after admission for traumatic injury, and deaths by stimulants have increased.

Deborah Filipek December 2, 2022

No Surprises Act regulations remain a moving target for compliance

Amid all the rules stemming from the No Surprises Act, a looming mandate for providers to send cost estimates to health plans looks like the biggest stress inducer.

Nick Hut October 18, 2022

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

International member spotlight: Raghu Bemmanakodan shares his passion for his revenue cycle work and leadership role

Raghu Bemmanakodan, billing recovery manager, says the biggest impact of revenue cycle management education on the day-to-day operations at Sheikh Shakhbout Medical City, Abu Dhabi, is a new understanding of the workflow between various health system departments.

HFMA October 6, 2022
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