Healthcare Revenue Cycle

Articles focused on patient access, billing, coding, claims management, collections, denials prevention, and revenue cycle optimization.

Point-of-service collection goes better if the right strategies and tactics are employed

Health systems need to adopt new strategies that will support a positive patient experience and improve collection efforts, all while minimizing the negative impact to patients. 

By Stacie M. Johnson, MAEd, CRCR, CSBI March 1, 2023

Hospitals require an integrated team approach to ensuring revenue integrity

Hospital and health system finance teams should not view payment audits and denials as being solely their concerns. Instead, these issues require an all-hands-on-deck approach.

By Dawn Crump, MA, SSBB, CHC February 28, 2023

Monument Health revamps its revenue cycle leadership structure for the benefit of patients and the organization

Looking to break through the cultural silos that can hamper operations at hospitals and health systems, Monument Health has engineered a new brand of clinical-finance collaboration. Headquartered in Rapid City, South Dakota, the community-based health system established a dyad leadership structure in which a clinical leader has joint oversight of the revenue cycle. It’s a…

By Nick Hut February 28, 2023

Creating a sustainable healthcare workforce demands innovative solutions

Five healthcare leaders share insight on how their forward-thinking healthcare organizations approach staffing challenges facing the industry.

By HFMA February 28, 2023

New ways of working spur updated training, automation

Learn how changes implemented during the pandemic are transforming multiple healthcare finance executives' workplaces and driving them to rethink how work gets done.

By HFMA February 27, 2023

Hospital price transparency update: Regulatory enforcement soon could become stricter, CMS leaders say

Although nothing is official, CMS leaders indicate enforcement of hospital price transparency regulations is set to become more stringent. For an article published in Health Affairs, the Center for Medicare’s Meena Seshamani, MD, PhD, director, and Douglas Jacobs, MD, chief transformation officer, touted progress that has been made since the rules took effect Jan. 1,…

By Nick Hut February 24, 2023

Healthcare News of Note:  7 hospitals earn a Press Ganey award for outstanding nursing quality

Seven hospitals were recognized for elevating nursing excellence and improving patient outcomes with Press Ganey’s National Database of Nursing Quality Indicators Award for Outstanding Nursing Quality. Only 48% of Americans rank the quality of U.S. healthcare as excellent or good, according to results of a Gallup Health and Healthcare survey. Nearly half of Americans are…

By Deborah Filipek February 20, 2023

Vaccination: Good for the community, the industry and your bottom line

Jacob Braude, a principal at ZS, returns to the podcast to discuss his firm's latest research on vaccine hesitancy.

By Erika Grotto February 13, 2023

The patient as the new payer: 5 opportunities to improve the patient financial experience

Patient collections have become an increasingly difficult challenge for hospitals due primarily to a shift in payer mix. Because of rising deductibles and increased patient responsibility, the percentage of healthcare provider revenue collected directly from patients increased to more than 30% from less than 10% over ten years, according to an article from HITLeaders. Faced…

By HFMA February 10, 2023

(Updated 2) Texas court again backs providers in No Surprises Act independent dispute resolution litigation

A physician association continues to roil the No Surprises Act’s arbitration process through successful litigation. For the second time in a year, the Texas Medical Association (TMA) prevailed in court after arguing that regulations governing the independent dispute resolution (IDR) process do not comply with legislative intent. Barring a successful appeal, the Feb. 6 ruling…

By Nick Hut February 8, 2023
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