Revenue Cycle

Increase Cash Flow by Giving Your Business Staff Meaningful Work

The pillars of strong revenue cycle operations are creating meaningful work, developing knowledge, removing obstacles, and advancing analytical capabilities. Revenue cycle leaders can achieve these goals by integrating payer and claims data and applying algorithms to optimize staff efforts.

Jesse Ford October 31, 2017

Virtual Work Drives Productivity at Cleveland Clinic

Since initiating its remote worker program, Cleveland Clinic’s revenue cycle department has experienced a 13 percent increase in productivity.

Heidi Peris October 31, 2017

Hospital’s Tax-Exempt Status Revoked for Lack of Community Health Needs Assessment

The IRS stated that a rural hospital had failed to conduct a proper community health needs assessment and make it widely available to the public. The hospital’s tax-exempt status under section 501(c)(3) was revoked retroactively.

J. Stuart Showalter October 16, 2017

Ask the Experts: Inpatient Versus Outpatient Health Plan Billing

Is it legal to charge an inpatient for outpatient services provided by another facility?

HFMA October 13, 2017

Prioritizing Accounts Helps Sanford Health Lift Patient Payments by $2.1M

Scoring and segmenting patients according to their propensity to pay, combined with using an automated dialer, can significantly improve the productivity of patient account teams. 

Laura Ramos Hegwer October 13, 2017

The Top 5 Drivers of Missing Charges

Staff engaged in revenue integrity and charge audits should carefully monitor five key categories that are most common reasons for missing charges.

HFMA October 3, 2017

ICD-10 Denials and Payment: Understanding the Relationship

Proactive, established processes to prevent denials and better manage appeals minimizes citation risks while promoting optimal, timely payment and compliance.

Laudine Markovchick, RHIT, CCS October 3, 2017

Baylor Scott & White Revamps Patient Payment Processes, Saves $1.5M in Agency Fees

A Dallas-based health system increased POS collection by incorporating more up-front discussions on patients’ out-of-pocket costs and offering more payment options.

Laura Ramos Hegwer October 3, 2017

Sidebar: Top 10 Most Over-Documented HCCs

Documentation of chronic conditions is increasingly important as hospitals move toward value-based payment models. 

HFMA October 2, 2017

Sidebar: Top 10 Most Under-Documented HCCs

Documentation of chronic conditions is increasingly important as hospitals move toward value-based payment models. 

HFMA October 2, 2017
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