Healthcare Revenue Cycle Management News

Latest financial metrics for hospitals show reasons for optimism but also persistent challenges

Hospital financial performance partially recovered in March as patient volumes returned to something closer to normal after a significant downturn during the omicron wave.

By Nick Hut May 4, 2022

Anthony Comfort of VisiQuate discusses opportunities for technology in healthcare, both in the clinical space and in revenue cycle

The pandemic pushed healthcare organizations to consider how they were using their technology and where the greatest opportunities lie. This week, Anthony Comfort of VisiQuate discusses some of those opportunities as well as barriers to success. Also in this episode, Brad Brotherton of BKD discusses how his firm stands out and how its merger with DHG will strengthen its services.

By Erika Grotto May 3, 2022

OIG calls out issues with denials of payment and services in Medicare Advantage

Medicare Advantage processes related to prior authorization hamper beneficiaries’ access to medically necessary care, according to a new report from the HHS Office of Inspector General.

By Nick Hut April 29, 2022

M&A update: A quiet quarter for hospital deal-making reflects the ongoing consequences of the pandemic

Merger-and-acquisition activity among hospitals and health systems remained well under pre-pandemic levels in Q1 2022.

By Nick Hut April 27, 2022

Tentative deal to provide pandemic funding won’t replenish the COVID-19 Uninsured Program

A bipartisan Senate bill would pay for additional vaccines and therapeutics but wouldn’t restore funding to a program that reimburses providers for furnishing COVID-19-related services to the uninsured.

By Nick Hut April 27, 2022

News Briefs: Biden administration will apply closer scrutiny to healthcare billing practices

A monthly roundup of top news for healthcare finance professionals.

By Nick Hut April 27, 2022

Steve LeFar talks about the implications of care deferrals due to COVID-19

The economic and social impacts from deferred healthcare due to COVID-19 were already a major concern in the pandemic’s first year, portending severe declines in health status for Americans who stopped seeking care for fear of exposure to the coronavirus. In this Q&A, Strata Decision Technology’s Steve Lefar shares insights based on extensive data that tell the story of deferred care across the nation, and the likelihood that providers will see a rising tide of severely ill patients.

By Eric C. Reese, PhD April 27, 2022

Paul Keckley: Inflation’s impact on healthcare: 5 takeaways

For healthcare finance professionals, healthcare inflation requires intensified efforts to address five concerns: increased bad debt, increased operating costs, heightened public scrutiny of pricing policies and executive compensation, increased competition by privately funded competitors offering low-cost solutions and growth of “Occupy Healthcare” movements.

By Paul H. Keckley, PhD April 26, 2022

Cost Effectiveness of Health Report, April 2022

The April 2022 edition of HFMA’s Cost Effectiveness of Health Report includes a preview the May issue of hfm, which focuses on telehealth, a key tool for promoting value-based care CEoH. Another article explores ways to promote health equity in revenue cycle processes, and a case study describes how one health system embarked on an initiative to achieve greater diversity among its revenue cycle staff.

By HFMA April 26, 2022

3 ways the patient financial experience can improve health equity

COVID-19 shined a bright light on disparities in access to care and health outcomes that existed in the U.S. healthcare system long before the pandemic, but far from improving the situation, it has exacerbated those disparities. Now, health system revenue cycle departments have an opportunity to be part of the solution.

By Mark Spinner April 25, 2022
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