Revenue Cycle

Strategies to Assist Uninsured Patients

Wooster Community Hospital reaches out to uninsured patients with package pricing and Medicaid application assistance.

Julie A. Jacob April 18, 2017

Why Health Plans Are Easing Preauthorization

In an attempt to build cooperative working relationships with physicians, some health plans are trying to reduce the burden of preauthorization.

Lola Butcher April 11, 2017

Avoiding the Costliest Denials

Eligibility, outpatient medical necessity, and case management authorization continue to be three of the costliest denials. To avoid the negative effects of these types of denials, it is critical to implement an improvement process based on data.

Laura Ramos Hegwer April 10, 2017

Ask the Experts: Self-Pay Accounts

Has anyone placed self-pay unpaid accounts with a third-party agency at day 90? If so, was it beneficial or detrimental?

HFMA April 10, 2017

Electronic Claim Processing Can Save Millions of Work Hours

If providers fully adopt automated processes for claim transactions, a minimum of 1.1 million hours of administrative work could be saved per business week each year, according to a 2016 CAQH study. 

HFMA April 10, 2017

Finding Common Ground on Physician Documentation

Revenue cycle teams looking to improve physician compliance with documentation requirements should identify how better documentation supports physician priorities. 

Lola Butcher April 6, 2017

Tackling Preservice Pricing Plans

Despite evidence that patient demand for preservice pricing is growing, only 30 percent of patients are being offered pre-treatment cost estimates. 

Tom Yoesle April 6, 2017

Revenue Cycle Department Gives Beyond Its Patient Access Services

MetroHealth’s revenue cycle staff work together to assist the local community with basic needs as well as healthcare access and financing.

Bragging Rights April 6, 2017

New CMS Guidelines Impact Coder Roles

How is the role of coders in the clinical validation process changing?

Kim Carr , RHIT, CCS, CDIP, CCDS April 6, 2017

Solving the Unique Revenue Cycle Challenges of EMS Providers

An EMS provider cut A/R days in half by addressing the unique challenges of emergency medical service revenue cycle processes―limited time to capture patient data and insurance coverage information and a lack of technology integration with other healthcare providers.

Chris Watanabe, RHIA, CHPS April 6, 2017
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