Healthcare Revenue Cycle

One company shares advice and trends in addition to how its service offerings can hep healthcare organizations facing challenges, the biggest being people, process and technology.

A new rule establishes a process for resolving payment disputes between health plans and hospitals when regulations on surprise billing begin in 2022.

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: Shortages of lower-wage healthcare workers, nurses, physicians and mental health staff are expected, PHI security and burnout are of concern to most healthcare professionals, and the pandemic is expected to affect health insurance rates.

Prior authorization is the most time-consuming transaction for medical providers, taking up to an hour to complete manually. Find out how providers and health plans can save up to $417 million annually be automating prior authorizations.

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: $317,810 is the average charge for a complex COVID-19 hospitalization, the pandemic has had a unique impact on people with disabilities, and transitional clinic care brings posthospitalization benefits for medically complex patients.

Coding at hospitals and health systems can take hours each day and can cost up to $7 billion in one year. However, one company encourages its use of artificial intelligence technology to reduce both cost and time of coding.

From its very inception, HFMA has embraced the idea of thought leadership and professional practice. Major milestones have included the Principles and Practices Board, The Patient Friendly Billing Project, The Value Project and the recent focus on consumerism.

Joyce Fitzpatrick, a nurse and director of the Marian K. Shaughnessy Nurse Leadership Academy at the Frances Payne Bolton School of Nursing at Case Western Reserve University and Robyn Begley, CEO of the American Organization for Nursing Leadership and the chief nursing officer for the American Hospital Association, discuss the challenges facing the nursing profession.

HFMA’s Cost Effectiveness of Health Report, sponsored by Kaufman Hall, is a monthly e-newsletter that will explore ways to ensure healthcare delivery in the United States is not only financially sustainable but also cost effective for all of its stakeholders — including health systems, physicians, health plans and patients. In this inaugural issue of the report, healthcare futurist Jeff Goldsmith shares his perspectives on the need for a focus on improving cost effectiveness of health as a societal imperative.

Medicare beneficiaries will owe nothing out of pocket for receiving an authorized booster dose, and the same applies to almost all Medicaid beneficiaries and most commercial health plan members.