Healthcare Revenue Cycle Management News

Over the last decade, outpatient and ancillary services have typically yielded high profit margins for healthcare organizations. However, today’s organizations cannot ignore consumers’ demand for low-cost, high-quality care. This, coupled with inflation and, per updated Peterson-KFF data, an increase in the cost of hospital outpatient services by 8.3% specifically, has opened the door for lower-cost…

The healthcare industry is set for a major transformation, driven by government policies, legislative reforms, insurance updates and a continuous evolution of compliance and privacy standards that impact revenue cycle management (RCM). These developments present both challenges and opportunities for RCM teams but embracing them is crucial for healthcare organizations to thrive. Key regulatory changes…

Healthcare organizations are facing unprecedented operating costs, largely driven by labor and inflation. According to the American Hospital Association (AHA), “Persistent workforce shortages, severe fractures in the supply chain for drugs and supplies and high levels of inflation have collectively fueled hospitals’ costs.” The AHA also emphasized the challenges of “higher acuity care and deepening…

The term “regulatory compliance” is often associated with its cost. However, the foundational purpose of regulations is to protect patients and ensure quality care. Most would agree a healthcare system without regulations would be catastrophic. But provider organizations are now burdened with managing compliance under increasingly complex requirements. If they fall short, they can expect…

The traditional healthcare revenue cycle was designed to evolve around payer reimbursement. Processes and workflows were pretty much set in stone. Step 1: register the patient; step 2: verify insurance and eligibility; step 3: capture the charges; step 4: code the claim, and so on. The lack of automation and interoperability solutions, especially electronic health…

Learn how to address challenges in the healthcare industry such as rising costs and strict regulations with advice on managing regulatory compliance and enhanced patient engagement, among other ways to lead organizations to success.

Learn about a patient financing solution that helps reduce accounts receivable and provides financing options so patients can seek out the care they want or need.

HFMA, with sponsorship from Guidehouse, surveyed 134 healthcare executives to understand their revenue cycle challenges and opportunities. The survey found that payer challenges, prior authorization, and workforce are among the top three areas of stress for revenue cycle departments. To learn more, download the key findings from the survey.

A refreshed look at Medigap revenue, the opportunity that exists to increase market share, and the financial impact it has on healthcare organizations. This white paper presents three important considerations for healthcare finance leaders as they look to expand revenue streams and access a growing population of insured Medigap patients.

Managing the healthcare revenue cycle is more challenging — and more critical — than ever. Amid sluggish margins, ongoing staffing challenges and rising costs, providers feel unprecedented pressure to optimize their revenue cycles. Addressing the ever-increasing issue of denials is a great place to begin. The latest data on denials and proven strategies to reduce…