Avoiding the High Cost of High-Capture Leakage
Adoption of efficient practices, along with the implementation of a charge capture system that suits the needs of a healthcare organization, can bring significant recaptured revenue.
Payment Security and Compliance: A Primer for Healthcare Revenue Cycle Decisionmakers
Compliance with credit card security standards has taken on greater importance for hospitals as with the increased likelihood that patients might use credit cards to cover growing payment obligations imposed by high-deductible health plans.
Ask the Experts: Billing for Non-Physician Staff
How should we bill New York Medicaid when there are providers that are not hospital employees providing services in an emergency department setting?
Critical Access Hospital Makes Transparency a Priority
Henry County Health Center has simplified patient billing and added a patient estimator tool to enhance the patient experience and improve collections.
Moving Toward a Revenue Ecosystem
To maximize results, healthcare finance leaders should establish an integrated view of the organization’s entire revenue ecosystem, aligning across organizational strategy, payer contracting, clinical operations, and revenue cycle drivers.
HFMA/Change Healthcare: Pre-Authorization and Medical Necessity Opportunities
Change Healthcare and HFMA partnered on a research study that analyzed the state of claims denials in the United States. It focused on understanding providers' first-pass claim rates, denials occurring from lack of pre-authorization and medical necessity processes, and pain points that are opportunities for innovation.
Smartphone App Helps Users Identify Nearest EDs
Krislyn M. Boggs and Carlos A. Camargo, Jr. describe how the Massachusetts General Hospital-based Emergency Medicine Network helps people find the nearest emergency department.
Plateau Busting: Transforming a CDI Program to Optimize Quality and Revenue
United Health Services, a not-for-profit health system serving New York, realized substantial benefits by implementing a clinical documentation improvement program.
Financial Leaders Are Key Collaborators in Patient Access Restructuring
Finance leaders provide critical information and expertise in healthcare organizations that are looking to improve patient access.
Ask the Experts: Chargemaster Updates
Are members of the group assessing their chargemasters annually? What do they consider when deciding which charges to increase and by how much?