Revenue Cycle

Exemptions to Anthem’s ED Policy

Anthem will not deny an ED claim based on the prudent layperson standard if certain conditions apply.

HFMA July 12, 2018

Ask the Experts: Physician Practice System Implementation

Is there a template for a new physician practice management system implementation plan geared towards denial management and collection modules?

HFMA July 12, 2018

New Best Practices for Reporting Bad Debt

Credit reporting is becoming less effective as a result of new regulations and evolving hospital bad debt programs.

Don Wright July 9, 2018

Billing Processes Need Overhaul as Patient Payments Increase

The challenge of increasing patient financial responsibility is compounded by consumers’ confusion with billing documents.

HFMA July 9, 2018

Closing Patient Communication Gaps

While some patients struggle to pay their healthcare bills, it’s also true that plenty of bad debt is the result of disconnects in the billing process and confusion over what patients owe.

Matt Hawkins July 9, 2018

Offshore Coding Costs More in the Long Run

Offshore coder productivity was 34 percent lower per hour than domestic coders, according to a recent study. Healthcare organizations needed 51 percent more offshore coders, raising the effective hourly rate of offshore coders to $52.85 per hour, versus $60 for domestic coders.

Bill Wagner July 9, 2018

How Chargemaster Maintenance Can Contribute to Price Transparency

CMS has proposed requiring hospitals to publish their standard charges online. Once this data becomes public, finance departments must be able to explain it to consumers.

Lisa A. Eramo July 9, 2018

Reinventing Medical Payments: The Urgency for Digital Transformation to Prioritize Patients

The rising cost of health care has made the need for convenience in patient payments necessary for both patients and providers.

Chris Wenner June 26, 2018

Cedar: Reimagining the Patient Financial Experience

Cedar’s CEO and co-founder tackles the topic of patient payment and the importance of having an innovative patient financial management system. 

HFMA June 22, 2018

The Golden Hour for Member Engagement: Onboarding and Pre-Boarding for Lower Costs and Improved Healthcare Consumer Experience

Cynthia Nustad describes how commercial health plans can improve consumer communication.

Cynthia Nustad June 21, 2018
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