Healthcare Revenue Cycle

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

How avoiding an awkward waiting room conversation can contribute to better health for transgender people

Listen to the podcast. Societal biases in healthcare not only hurt a provider’s reputation but also the bottom line. When patients don’t feel welcome, they won’t come back until they are sicker and more expensive to care for. On this episode of the Voices in Healthcare Finance podcast, Rodrigo Heng-Lehtinen, executive director of the National…

By Erika Grotto January 18, 2022

Coverage denials based on medical necessity are far more likely to arise from Medicare FFS rules than from MA plan policies

Coverage rules stemming from Medicare national and local determinations were the most likely cause of claim denials in one Medicare Advantage plan.

By Nick Hut January 18, 2022

HFMA’s new Premium Facilitated Learning courses combine self-directed study with facilitator feedback and time for peer problem solving

Learn more about HFMA’s Premium Facilitated Learning — a new line of courses — that combine self-directed study with expert facilitation in this Q&A with HFMA’s Sue Spear, director of Digital Learning and Todd Nelson, director of Partner Relationships.

By Stephani Johnston January 11, 2022

No Surprises Act inspires short-term and long-term operational areas of focus

The rush may be over, but the race has just begun. After sprinting to implement the requirements of the No Surprises Act by the Jan. 1, 2022, deadline, providers must now shift attention to refining their processes for what lies ahead. Assuming familiarity with the law’s key requirements, providers and facilities are focused on the…

By HFMA January 7, 2022

Healthcare 2030: The Chartis Group and Bank of America discuss embracing disruptors and rethinking care delivery

Melissa McCain, director and leader of the consumer access digital transformation practice of The Chartis Group, and Charles Alston, market executive leader of Bank of America’s healthcare team in the southeastern U.S., discuss HFMA’s Healthcare 2030 series and share insights about what hospitals and health systems should be considering as they plan for the next decade.

By Erika Grotto January 7, 2022

New surprise billing regulations: Assessing a patient’s network status will be a key challenge

With new surprise billing regulations in place, providers should seek to implement efficient processes for gauging whether a patient is in-network.

By Nick Hut January 4, 2022

Key takeaways from HFMA’s latest Outlook Survey: Healthcare finance professionals anticipate technology-driven changes

HFMA’s most recent Outlook Survey of healthcare finance professionals highlights the potential of technology to usher in big changes in upcoming years.

By Nick Hut December 22, 2021

Studies find glaring issues with federal price transparency requirements

The first year of federal price transparency regulations for hospitals hasn’t had high rates of compliance, nor has it consistently led to actionable information for consumers, according to two new studies.

By Nick Hut December 21, 2021

Healthcare News of Note: A majority of physicians fear they missed signs of drug misuse during the pandemic and predict drug overdose deaths will rise, says a Quest Diagnostics report

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: Physicians fear they missed signs of drug misuse during the pandemic, improved technology use is seen in patient engagement, and the majority of Medicaid health plans have a health equity plan.

By Deborah Filipek December 17, 2021

New surprise billing regulations: How providers should be preparing to fulfill the pending requirement about good-faith estimates

Providers have had a mere three months to implement the processes needed to comply with a new requirement to provide uninsured patients with good-faith estimates in advance of services.

By Nick Hut December 16, 2021
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