Healthcare Revenue Cycle

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

Patient Financial Communications Adopter Recognition Program

Show that you've implemented best practices for patient financial communications. Let HFMA recognize your organization as a Patient Financial Communications Adopter.

By HFMA October 8, 2024

Tribal health challenges provide lessons for healthcare organizations

Laura Osborne and John Reeves discuss the unique challenges of tribal health and what other healthcare organizations can learn from their experiences.

By Erika Grotto October 7, 2024

5 revenue cycle management myths dispelled

The traditional healthcare revenue cycle was designed to evolve around payer reimbursement. Processes and workflows were pretty much set in stone. Step 1: register the patient; step 2: verify insurance and eligibility; step 3: capture the charges; step 4: code the claim, and so on. The lack of automation and interoperability solutions, especially electronic health…

By HFMA October 4, 2024

How PFC USA’s solutions can help boost revenue and patient satisfaction

Learn how to address challenges in the healthcare industry such as rising costs and strict regulations with advice on managing regulatory compliance and enhanced patient engagement, among other ways to lead organizations to success.

By HFMA September 30, 2024

Offering a health and wellness credit card provides a patient-friendly payment option

Learn about a patient financing solution that helps reduce accounts receivable and provides financing options so patients can seek out the care they want or need.

By HFMA September 27, 2024

Research Summary: 2024 Revenue Cycle Management Survey

HFMA, with sponsorship from Guidehouse, surveyed 134 healthcare executives to understand their revenue cycle challenges and opportunities. The survey found that payer challenges, prior authorization, and workforce are among the top three areas of stress for revenue cycle departments. To learn more, download the key findings from the survey.

By HFMA September 13, 2024

Congress only has a few more months to ensure expansive telehealth access continues (updated)

Note: This article was updated Sept. 18 and Sept. 19 with information about new telehealth legislation. See the updates below. The clock is ticking on efforts to maintain the telehealth flexibilities that have been in place since the start of the COVID-19 pandemic, with advocates hoping Congress will act before year’s end. Key waivers will…

By Nick Hut September 4, 2024

How to Maximize your Medigap Market Share

A refreshed look at Medigap revenue, the opportunity that exists to increase market share, and the financial impact it has on healthcare organizations. This white paper presents three important considerations for healthcare finance leaders as they look to expand revenue streams and access a growing population of insured Medigap patients.

By HFMA August 30, 2024

Harnessing automation in patient access for revenue optimization

Patient access is often treated like a stand-alone process instead of a vital part of the revenue cycle puzzle. The truth is that errors during this critical stage of the revenue cycle are often the cause of claim errors, delayed care and denials. In addition, as the first step of a patient encounter, the patient…

By HFMA August 30, 2024

A key election question: What will happen to the enhanced Affordable Care Act subsidies?

Earl Pomeroy knows from experience that the politics surrounding the Affordable Care Act (ACA) are dicey. As a Democratic member of the House Ways and Means Committee, Pomeroy helped pass the ACA during his ninth term representing North Dakota. After that, “I lost my job,” he recalled. Since his time in Congress ended with his…

By Nick Hut August 26, 2024
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