How to use analytics and automation to build an intelligent A/R strategy
Health systems seeking to improve their accounts receivable function are turning to machine learning and AI to streamline patient interactions in ways that benefit the organizations and their patients. Read the challenges and benefits of using automation health system executives discuss in this roundtable.
Seeking to phase out Medicare DSH payments, MedPAC outlines potential changes to reimbursement for safety net providers
Revamped formulas for hospitals and physicians would be designed to better target payments to providers that treat larger shares of low-income Medicare beneficiaries.
Beyond automation: Fulfilling your New Year’s resolution for a more efficient revenue cycle
Jonathan Wiik, vice president of health insights at FinThrive, discusses how provider organizations continue to struggle with denials in a time when staff is hard to find.
Labor costs and other concerns dampen the outlook for not-for-profit hospitals this year
Insights from a leading credit-rating agency illustrate the scope of the financial challenges facing not-for-profit hospitals in 2023.
4 tips for simplifying prior authorizations
Healthcare spending in the U.S. has reached what many consider to be unsustainable levels. While spending in other developed nations averaged 8.8% of GDP in 2019, it was nearly double that in the U.S. at 16.8%. One of the major contributors to this spending is administrative waste, which accounts for up to 30% of our…
Medicare contractors should more closely examine providers’ bad debt claims, HHS watchdog says
Medicare administrative contractors (MACs) soon could apply more scrutiny to providers’ reported bad debts if CMS implements recommendations from the HHS Office of Inspector General (OIG). OIG in December issued a report in which it examined bad-debt reimbursement claims on Medicare cost reports spanning 2016 through 2018 for 67 randomly selected providers (including 29 hospitals). In those…
For the No Surprises Act arbitration process, 2023 brings a steep fee hike and continuing litigation
The No Surprises Act’s independent dispute resolution (IDR) process is about to become more expensive for healthcare stakeholders. In 2023, the nonrefundable administrative fee due from each party involved in any payment dispute that goes to arbitration will increase from $50 to $350, according to a Dec. 23 memo from CMS’s Center for Consumer Information and Insurance…
Healthcare News of Note: What were the 5 most-read Healthcare News of Note blog entries of 2022?
This week’s edition of Healthcare News of Note is devoted to the top five Healthcare News of Note blog posts from 2022. Find out what topics healthcare finance professionals found most interesting in this year-end wrap-up.
Healthcare News of Note: More than 3,500 deaths in the US attributed to long COVID during a 30-month period
For a 30-month period beginning in January 2020, long COVID played a part in the deaths of 3,544 people, according to a report by the CDC’s National Center for Health Statistics. The Department of Justice has support from hospital advocates as it looks to appeal a court ruling that allowed UnitedHealth Group to acquire Change…
International member spotlight: Aleetta Baby uses certification to enrich her career and look to the future
Aleetta Baby’s enthusiasm for her work is evident in her dedication to learning new skills. “I enjoy working in revenue cycle management because each day presents a new learning opportunity, task or challenge.” Baby, revenue cycle management financial analyst at Sheikh Shakhbout Medical City (SSMC) in Abu Dhabi, has completed her Certified Revenue Cycle Representative (CRCR) certification…