Healthcare Revenue Cycle

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

Patients have access to more information than ever. How should we be talking to them about it?

The Information Blocking Final Rule from the 21st Century Cures Act and federal transparency initiatives like the No Surprises Act have given patients more access to information than they’ve ever had before. On this episode, Terry Hush, CEO of Roji Health Intelligence, discussed how that access should change the conversations providers are having with their patients.

By Erika Grotto February 1, 2022

Patients have access to more information than ever. Why aren’t we talking to them about it?

Listen to the podcast. The Information Blocking Final Rule from the 21st Century Cures Act and federal transparency initiatives like the No Surprises Act have given patients more access to information than they’ve ever had before. On a recent episode of the Voices in Healthcare Finance podcast, Terry Hush, CEO of Roji Health Intelligence, discussed…

By Erika Grotto February 1, 2022

A checklist for successful hospital cost reporting in the time of COVID-19

COVID-19 will have long-term impacts on the operations of hospitals, and on their costs in particular., making it imperative that hospitals be mindful of how those impacts extend to their cost report data.

By K. Michael Nichols, FHFMA, CPA January 31, 2022

HHS’s Office of Inspector General announces audit of providers’ COVID-19 billing practices

OIG has announced an audit of Provider Relief Fund recipients to ensure they did not balance-bill presumptive or actual COVID-19 patients.

By Nick Hut January 26, 2022

Cost Effectiveness of Health Report, December 2021

The December HFMA’s Cost Effectiveness of Health Report, sponsored by Kaufman Hall, leads off with the fourth and final report for 2021 in HFMA’s Healthcare 2030 series, focused on the long-term direction of strategic investment for hospitals and health systems. Also included are an article describing a new “employer-friendly” model of center of excellence and a commentary on how the FDA’s accelerated approval process may unintentionally be increasing the nation’s drug expense.

By HFMA January 24, 2022

Healthcare providers face a growing risk of violating debt covenants

COVID-19 has increased the financial strain on healthcare providers that puts them at risk of being noncompliant with lending covenants. They should be taking proactive steps now to avoid or mitigate the potentially severe adverse financial consequence of such an occurrence.

By Steven Shill, CPA January 22, 2022

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
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