Healthcare Revenue Cycle

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

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

Hospitals, physicians file lawsuit over the arbitration process in the new surprise billing regulations

Leading provider associations have asked a federal court to halt the incorporation of criteria that appear to favor insurers over providers in an arbitration process to determine out-of-network payment amounts.

By Nick Hut December 10, 2021

Adopting the first responder mindset in leadership

Michael Bumann is the founder and CEO of Red Dot, a company that specializes in resolving motor vehicle accident accounts for healthcare organizations, and his history as a firefighter and EMT informs every aspect of his business. In today's episode, Bumann discusses what lessons leaders can take from first responders to take action in times of great challenge.

By Erika Grotto December 8, 2021

Healthcare News of Note: Youth mental health-related emergency department visits are on the rise as a result of the pandemic

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: Mental health-related ED visits increase for children and teens, hospital volumes are nearly at 2019 levels, and TransUnion Healthcare sees a 55% increase in financial assistance requests in a 12-month period.

By Deborah Filipek December 3, 2021

CMS makes templates available to help with aspects of the new surprise billing regulations

CMS has published templates and resources that can guide healthcare providers in implementing some of the surprise-billing requirements that take effect in January.

By Nick Hut December 2, 2021
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