Safety Net System Achieves $130M in Fiscal Improvements in 4 Years
Denials management and “keepage” strategies—keeping services within the health system—helped Maricopa Integrated Health Services improve its margins even in the face of a challenging payer mix.
The Experience Economy Is Coming to Health Care
HFMA President and CEO Joe Fifer discusses the implications of the experience economy for healthcare finance leaders.
Ask the Experts: Presumptive Eligibility
Is a free service provided on the basis of presumptive eligibility allowable for charity on Medicare’s cost report worksheet S-10?
Creating a Generation of Health-Literate Adolescents
Allison Gertel-Rosenberg explains why Nemours Children’s Health System has developed a curriculum that educates teenagers about navigating the healthcare system.
Ask the Experts: Denials Management Statistics
What metrics do CFOs consider important to support decision-making with respect to their denials management programs and health plan contracting?
Payer access to EHR data improves cash flow
Sharp Healthcare gives some payers limited access to their members’ EHR data, which reduces the time-consuming cycle of level-of-care authorization denials, appeals, and ultimate approvals.
Address Patient Financial Risk in Pre-Service to Boost Revenue and Earn Loyalty
To improve patient satisfaction and decrease uncompensated care, educate patients on their healthcare expenses, benefit coverage, and payment options.
Colorado Healthcare System Increases Price Transparency for Self-Pay Patients
SCL Health shows self-pay prices in two ways—an average for a specific service and the range of prices charged in the past year. This helps set realistic expectations when prices are above average based on varying factors.
Self-Pay Transparency in Colorado: What the Law Says
Colorado’s Transparency in Direct Pay Health Care Prices Act requires health facilities to publish online the self-pay prices of their 50 most-used DRG codes and the 25 most-used CPT codes.
Your To-Do List When Health Plan Contracts Change
Six steps can help revenue cycle leaders manage health plan changes effectively.