Healthcare Revenue Cycle Management

Articles focused on patient access, billing, coding, claims management, collections, denials prevention, and revenue cycle optimization.

Congress is still expected to pass a surprise-bill measure this year

Congress is likely to enact surprise-bill legislation in the waning days of 2019, according to policy advisers.

By Rich Daly November 22, 2019

Getting to the root causes of denials

Root causes for denials should be defined operationally to determine the level of analysis required internally.

By Denise Wilson November 18, 2019

Revenue Cycle Strategist November 2019

The November 2019 issue of Revenue Cycle Strategist newsletter features articles on patient experience, coding and denials management.

By HFMA November 18, 2019

Taking patient experience beyond clinical care

As patients pay more out-of-pocket healthcare costs, financial services influence patient experience, perceptions and actions.

By David Shelton November 18, 2019

Administration finalizes requirement for hospitals to post rates paid by health plans

A newly finalized requirement will require hospitals to post rates that are privately negotiated with health plans, as well as rates for a list of 300 “shoppable services.”

By Rich Daly November 15, 2019

6 key opportunities to optimize revenue with strategic pricing

Strata Decision Technology breaks down how providers can set defensible, geographically-sensitive prices that can be made visible to consumers without concern of backlash.

By Strata Decision Technology November 11, 2019

Transparency rule could come this month, White House executive says

A controversial requirement for hospitals to publicly post the rates they negotiate with health plans is expected this month, according to a senior White House official.

By Rich Daly November 8, 2019

Building a coding integrity department

Many healthcare coders are not just coding; they are evaluating the integrity of the codes and abstracted data associated with each patient.

By HFMA November 6, 2019

How has price transparency impacted the hospital industry?

A recent survey of healthcare organizations on price transparency indicates posting prices online has had little positive or negative impact on most hospitals.

By Scott Houk November 5, 2019

In the wake of recent news, providers should examine their patient collection practices to avoid pitfalls

Best practices can help healthcare providers avoid some of the pitfalls of trying to collect on patient debt.

By Nick Hut November 5, 2019
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