Bad Debt, Charity Care Contribute To Differences in Patient Revenue
Low margin hospitals may be receiving reduced payments from commercial insurance, which may contribute to their lower net patient revenues.
10 Critical Medicaid Trends to Watch
It is important for hospitals and health systems to forecast the impact of proposed healthcare legislation on Medicaid payments, eligibility teams, and patients.
Hiring for Effective Post Service Revenue Cycle Performance
Revenue cycle leaders agree that positive, motivated candidates can overcome a lack of back-end knowledge and experience to become valuable employees.
Screening and Coding for Homelessness
Health systems are recognizing that homelessness is a root cause of high healthcare utilization, but most systems do not screen and code for homelessness. Revenue cycle, patient access, and coding staff can play a role to improve homeless patient outcomes and reduce avoidable utilization by screening for and documenting homelessness.
Responsive Payment Support: Changing the Mindset for Self-Pay Collections
John Talaga of OnPlan Health discusses a strategy to address the increase of self-pay accounts.
The Patient is Always Right
David Wurcel of Yale New Haven Health explains why patient friendly billing is essential.
E&M coding levels for hospital EDs, 2013-15
Hospitals should analyze coding patterns in their use of E&M APC codes and compare them with national coding trends to understand the extent that their coding practices conform with industry norms.
Process Improvement Can Prevent Denials
Approximately two-thirds of the top ten reasons for denials during the first quarter of 2017 were related to patient access issues.
Capturing Transitional Care and Chronic Care Management Appropriately
What is the difference between coding for transitional care management and chronic care management?
Ensuring Proper Payments for Substance Abuse Services
Substance abuse treatment providers can maximize payments through contract negotiations and eligibility verification and precertification processes.