How 2 regions increased provider leader attendance at their symposium
Leadership of the January 2025 HFMA Western region symposium, held in Las Vegas, credits scholarships and peer-to-peer outreach for increasing attendance at the event by more than 10% in two years. Event leaders engaged 14 HFMA chapters across regions 10 and 11 to establish a planning strategy. Keys to the symposium’s success were prioritizing provider…
David Johnson: A case study in today’s revenue cycle dystopia
Vendor pronouncements that AI technologies can transform the healthcare revenue cycle are commonplace and overblown. While both health systems and suppliers want to believe that AI can be their savior, there are limits to how it can improve payment mechanics between commercial health insurers and providers. No revenue cycle company flew closer to the sun…
The art of digital delegation
Nick Hut and Shawn Stack discuss price transparency regulations, and Erika Grotto talks with Stuart Newsome from Infinx about AI in revenue cycle.
How AI and automation are revolutionizing revenue cycle operations for faster, more accurate reimbursement
Revenue cycle management (RCM) is a critical component of healthcare operations, yet providers face mounting challenges in ensuring timely and accurate reimbursements. Manual processes, evolving regulatory requirements and administrative inefficiencies contribute to revenue leakage and operational burdens. Traditional RCM processes are labor-intensive, relying heavily on manual billing, coding and claims submission. These inefficiencies not only…
New medical debt rule already is just about null and void
The future is shaky at best for a new rule preventing medical debt from appearing on consumer credit reports. The Biden administration’s leadership at the Consumer Financial Protection Bureau (CFPB) published the regulations in mid-January, with an effective date of March 17. But the Trump administration pushed back the effective date back by 90 days,…
Addressing social determinants of health in revenue cycle management
Integrating SDoH into RCM provides equitable care and improves financial outcomes. By addressing economic and social barriers early in the RCM process, providers enhance patient experiences and reduce costs. This approach aligns with value-based care models and improves overall health outcomes.
Revenue and Cost Pressures Research Summary
HFMA, with sponsorship from Humana, surveyed 166 healthcare executives to reveal key areas for managing costs of care, operational performance, and risk. To learn more, download the key findings from the survey.
Where do we go now? Action needed to address public dissatisfaction with U.S. healthcare
Healthcare providers are examining their approaches to understanding and responding to mounting discontent, including addressing access, affordability and elimination of friction, as part of their responsibility to get healthcare right.
How pre-bill automation positively affects efficiency and financial outcomes
Eighty-four percent of health systems report that lower reimbursement from payers is a top cause of low operational margins, according to an HFMA survey. Hospital revenue cycle leaders understand that not only are reimbursements lower, but if there are any errors or inefficiencies in coding bills that can also lengthen the process of getting paid.…
Revenue cycle leaders: How they optimized financial performance for outpatient and ancillary services
Over the last decade, outpatient and ancillary services have typically yielded high profit margins for healthcare organizations. However, today’s organizations cannot ignore consumers’ demand for low-cost, high-quality care. This, coupled with inflation and, per updated Peterson-KFF data, an increase in the cost of hospital outpatient services by 8.3% specifically, has opened the door for lower-cost…