Healthcare Revenue Cycle Management

Healthcare Blame Game: New York Times medical debt piece dubbed ‘laziest story of the year,’ plus revisiting charity care policies

Brad examines a New York Times article by investigative reporter Sarah Kliff about a recent study of patients whose debt was eliminated by RIP Medical Debt. Researchers say the results surprised them.

By Erika Grotto April 29, 2024

It’s time to revisit your charity care policy

The cover story in the May issue of hfm focuses on a South Dakota health system that developed a new process to identify charity care patients. In this episode, HFMA Policy Director Shawn Stack discusses why good financial assistance policies and process are essential to patient care.

By Erika Grotto April 22, 2024

Battle of the bots: As payers use AI to drive denials higher, providers fight back

Two fighters face each other in the ring, circling together, assuming there will be a single victor.   One, representing the U.S. health insurance industry, has made huge investments in aggressive technology over the past several years to automate claim processing and reviews, making it hard for the other fighter — representing the nation’s healthcare providers…

By Jeni Williams March 28, 2024

Navigating healthcare’s cyber crisis: HFMA’s lifeline through the Change Healthcare cyberattack

Regularly scheduled national member calls by HFMA’s Change Healthcare Business Continuity Workgroup and frequent news updates about the continuing impact of the cyberattack on hospitals and health system by senior editor Nick Hut became a lifeline for many HFMA members through mid-March. Regular news updates Hut kept members apprised of developments starting on Feb. 25…

By Deborah Filipek March 19, 2024

Navigating medical necessity denials: Strategies for successful resolution

Just as hospitals, health systems and physician practices are dealing with unprecedented financial and operational challenges, denied claims continue to rise — especially medical necessity denials. The impact on providers and patients is significant. Medical necessity is the term used to describe “healthcare services or supplies needed to diagnose or treat an illness, injury, condition,…

By HFMA March 8, 2024

How digital patient engagement solutions can help healthcare organizations improve their existing revenue cycle

This roundtable features various healthcare professionals who breakdown what digital patient engagement solutions are being implemented and how this not only empowers patients, but also helps organizations looking to improve their existing revenue cycle.

By HFMA February 29, 2024

While increasing revenue is a top goal for 2024, improving the patient experience is a close second — specially for large health systems: HFMA poll

In a recently conducted survey, 70% of 92 respondents said increasing revenue is a top priority in 2024 followed by improving the patient experience (60%) and reducing costs (55%). Review other key findings in this research report.

By HFMA February 29, 2024

Healthcare Blame Game: Bloomberg Philanthropies puts $250 million into educating new healthcare workers while Patient Rights Advocate spends on spreading misinformation

Chad Mulvany, vice president of federal policy for the California Hospital Association and former HFMA policy director, discusses Bloomberg Philanthropies $250 million investment in the future healthcare workforce, as well as what will actually move the needle on price transparency.

By Erika Grotto February 26, 2024

Cyberattack on Change Healthcare brings turmoil to healthcare operations nationwide

This blog presents HFMA’s running coverage of the Change Healthcare cyberattack and its impact on providers and the healthcare industry. July 29 updates A recent HFMA news article examined both UnitedHealth Group’s latest quarterly financial report and lingering issues for providers amid the ongoing cyberattack recovery. Receiving electronic remittance advice files remains a problem with…

By Nick Hut February 25, 2024

New data shows providers continuing to win most No Surprises Act independent dispute resolution cases

Providers won a large majority of disputes initiated during the first half of 2023 through the No Surprises Act’s arbitration portal for adjudicating out-of-network payments, according to newly published data. HHS and the U.S. Departments of Labor and Treasury released public-use files (available to download here under “2023 Reporting Year”) showing the outcome of every…

By Nick Hut February 21, 2024
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