How to handle the revenue cycle skills gap
Revenue cycle management is becoming less about managing transactions and more about technology, as hospital finance departments shift toward AI-enabled workflows. Increasingly, skills valued by hospital and health system employers are aligning around automation and analytics. As Heather Dunn, chief revenue officer at Novant Health, said in “The Revenue Cycle of the Future,” a recently…
4 shifts that define the revenue cycle of the future
AI can improve patient access, coding, billing, and payment, but CFOs need a revenue cycle operating model built for scale, trust, and governance.
The Revenue Cycle of the Future: AI boom and workflow redesigns accelerate rev cycle transformation
Hospitals of all sizes are leveraging AI advancements and workflow redesigns to modernize revenue cycle management, aiming to lower costs, improve operational efficiency, and enhance the patient experience. While technology such as predictive analytics and automation shows promise in streamlining tasks, challenges remain in workforce adaptation, skill shifts, and the need for strategic collaboration, as leaders work to balance innovation with employee training and retention in an increasingly tech-driven environment.
The IPPS FY 27 proposed rule, and how the industry can better care for women
Nick Hut and Kathy Stull discuss the latest in healthcare finance news, and Erika Grotto talks with Monica Christmas, MD, about how the healthcare industry can better care for women in perimenopause. Further reading: Inpatient Prospective Payment System FY27 proposed rule CJR-X Model
Fee-for-service payment approach creates obstacles to AI adoption by physicians
AI is poised to transform how healthcare is provided and paid for, but the commonly used fee-for-service (FFS) model of reimbursement could be a problem in getting physicians to adopt clinical AI tools, a group of researchers has found. The sticking point is that when a physician uses AI clinical technology or software in an…
The KPIs that define revenue cycle excellence
Revenue cycle leaders face significant challenges with shrinking reimbursements, rising denials, and operational complexities, requiring more than basic reporting for improvement. The HFMA MAP Keys provide a standardized framework for measuring performance, helping organizations align on key metrics to drive actionable insights and benchmark revenue cycle management effectively.
A key antitrust case against providers, plus the marriage of patient experience and AI
Nick Hut and Shawn Stack discuss the latest in healthcare finance news. Erika Grotto talks with Jonathan Wiik of FinThrive about how a great patient experience and AI can go together. Also in this episode, a fond farewell to Shawn as he departs the podcast and HFMA.
Why hospitals should develop a billable supply policy
The question of how best to charge and bill medical supplies to insurers has long been fraught with uncertainty for U.S. healthcare providers. The uncertainty arose from the decision by Congress in 1983 to implement the inpatient prospective payment system (IPPS) and, in 2000, the outpatient prospective payment system (OPPS), with the goal of controlling…
Revenue Cycle Strategies for Hospitals Facing Growing Financial Pressures
Download this white paper to learn how effective RCM helps hospitals overcome payment challenges and improve financial performance. Also discover key pain points and how process improvements or third-party support can strengthen operations.
Getting more bang for the buck from AI: Insight from Privia Health
An extensive search for the right AI implementation partners is paying off for Privia Health Group in Arlington, Virginia, an HFMA MAP Award winner that boasts positive results from incorporating AI in its revenue cycle. Privia, a publicly traded physician management company, has installed or will be installing AI in a variety of applications. Vendors…