the role of HCCs in a value-based payment system
Documentation of chronic conditions is increasingly important as hospitals move toward value-based payment models.
Optimize Patient Payments with a Unified Merchant Services Solution
By using a unified merchant services approach, healthcare organizations can give patients the ability to pay how they want, where they want, and when they want—opening opportunities to optimize revenue streams and cash flow in the process.
NYU Langone Emergency Physicians Connect Patients to Financial Counselors
Emergency physicians use an order in the electronic health record system to request financial counseling for patients who express concern about the cost of emergency care.
Time for Hospitals to Pursue a ‘Nip and Tuck’ Chargemaster Pricing Strategy?
Hospitals should balance their concern about achieving the margins they require to accomplish their missions with the need to maintain defensible pricing in an environment of increasing healthcare price transparency.
TCPA Lawsuits Are Exploding
The TCPA was never intended to prohibit or negatively affect legitimate business-related calls, but that has been the result of court decisions allowing class action lawsuits.
Patients as Payers: An Analysis of Current Trends
Patient payments have increased overall, but the actual dollar value of most individual transactions decreased by 3 percent, potentially indicating that patients are finding it difficult to come up with all the money owed at point of service.
Opioid Pattern Variations Highlight Need for Careful ICD-10 Coding
When coders capture intent, type of use, and associated manifestations for opioid abuse cases, they assist researchers in developing statistics that drive public health decisions.
Are You Prepared for These Three Self-Pay Risks?
Hospitals face risks associated with three major statutes that impact revenue cycle processes: autodialer rules, debt collection, and charity care requirements.
How Penn Medicine’s EHR Conversion Yielded an Integrated Revenue Integrity Department
In addition to measuring metrics at each EHR go-live stage, the budding revenue integrity structure included revenue reconciliation committees at each hospital to review department charge capture daily. Ultimately, the revenue integrity department would support the clinical areas for each of these committees long-term to ensure sustainability.
Award-Winning Healthcare Providers Offer Insights for Improved Revenue Cycle Performance
The 17 winners of HFMA’s 2017 MAP Award for High Performance in Revenue Cycle offer tips on revenue cycle excellence that can benefit other providers.