Healthcare Revenue Cycle

What is the industrywide uncollectable percentage for accounts receivable that hospitals can set aside as up-front reserves?

Developing engagement across a hospital or health system encourages collaboration and problem solving on costly claim denials.

Denial prevention efforts should focus upstream in the revenue cycle, starting with patient status and continuing through documentation practices, coding, CDI, utilization review, and charge capture.

St. Luke’s Cornwall Hospital overcame patient access challenges with more than a technological fix. The hospital necessitated a culture change and put a high priority on data capture and analysis of previously unmeasured KPIs.

These requirements relate directly to hospital revenue cycle operations. Failure to comply could result in substantial penalties or the loss of not-for-profit status.  

A research highlight that delves into key takeaways from a June 2018 HFMA member survey about patient payment perspectives and strategies. 

Alan Nalle describes how to maximize a patient’s lifetime value through a better payment experience.

Surprise medical bills are a top concern of American consumers today. HFMA President and CEO Joe Fifer introduces a guide to help consumers avoid these unexpected out-of-network bills.

Consumers have come to expect price transparency in health care, which has greatly increased the strategic and operational importance of providers’ charge master descriptions and other pricing frameworks.

Health systems seeking to acquire physician practices should first develop a thoughtful physician acquisition strategy that considers factors such as whether the focus will be on primary care physicians or specialists and the extent to which the strategy is offensive or defensive.