Revenue Cycle

Hospital Prices Machine Readable File: Build vs Buy Guide

Download this guide to assist you as you run the numbers and study the facts to decide whether or not to build your own MRF(s).

HFMA April 16, 2024

Battle of the Bots: As payers use AI to drive denials higher, providers fight back

Two fighters face each other in the ring, circling together, assuming there will be a single victor.   One, representing the U.S. health insurance industry, has made huge investments in aggressive technology over the past several years to automate claim processing and reviews, making it hard for the other fighter — representing the nation’s healthcare providers…

Jeni Williams March 28, 2024

Navigating healthcare’s cyber crisis: HFMA’s lifeline through the Change Healthcare cyberattack

Regularly scheduled national member calls by HFMA’s Change Healthcare Business Continuity Workgroup and frequent news updates about the continuing impact of the cyberattack on hospitals and health system by senior editor Nick Hut became a lifeline for many HFMA members through mid-March. Regular news updates Hut kept members apprised of developments starting on Feb. 25…

Deborah Filipek March 19, 2024

Navigating medical necessity denials: Strategies for successful resolution

Just as hospitals, health systems and physician practices are dealing with unprecedented financial and operational challenges, denied claims continue to rise — especially medical necessity denials. The impact on providers and patients is significant. Medical necessity is the term used to describe “healthcare services or supplies needed to diagnose or treat an illness, injury, condition,…

HFMA March 8, 2024

How digital patient engagement solutions can help healthcare organizations improve their existing revenue cycle

This roundtable features various healthcare professionals who breakdown what digital patient engagement solutions are being implemented and how this not only empowers patients, but also helps organizations looking to improve their existing revenue cycle.

HFMA February 29, 2024

While increasing revenue is a top goal for 2024, improving the patient experience is a close second — specially for large health systems: HFMA poll

In a recently conducted survey, 70% of 92 respondents said increasing revenue is a top priority in 2024 followed by improving the patient experience (60%) and reducing costs (55%). Review other key findings in this research report.

HFMA February 29, 2024

Healthcare Blame Game: Bloomberg Philanthropies puts $250 million into educating new healthcare workers while Patient Rights Advocate spends on spreading misinformation

Chad Mulvany, vice president of federal policy for the California Hospital Association and former HFMA policy director, discusses Bloomberg Philanthropies $250 million investment in the future healthcare workforce, as well as what will actually move the needle on price transparency.

Erika Grotto February 26, 2024

Cyberattack on Change Healthcare brings turmoil to healthcare operations nationwide

Resources A list of payer contacts for providers to inquire about advance payments An FAQ on Medicare accelerated and advance payments Recommendations and resources for HFMA members Link to UnitedHealth Group and Optum incident pages May 10 updates Our May 3 update (see below) included news on the issue of breach notifications, specifically UnitedHealth Group’s…

Nick Hut February 25, 2024

New data shows providers continuing to win most No Surprises Act independent dispute resolution cases

Providers won a large majority of disputes initiated during the first half of 2023 through the No Surprises Act’s arbitration portal for adjudicating out-of-network payments, according to newly published data. HHS and the U.S. Departments of Labor and Treasury released public-use files (available to download here under “2023 Reporting Year”) showing the outcome of every…

Nick Hut February 21, 2024

How to Optimize Your Revenue Cycle through In-depth Assessment and Strategic Process Improvements

By adopting a comprehensive approach that includes regular assessment, process optimization, staff education and measurement, healthcare organizations can enhance efficiency, reduce costs and ultimately improve their financial health. Download this report to learn more.

HFMA February 20, 2024
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