Surveys show rates of uninsured increased, underinsured remains significant
HFMA's Chad Mulvany says healthcare organizations should ensure their self-pay revenue cycle process follows best practices as it’s likely with more people uninsured there will be increased scrutiny of these processes.
Healthcare providers face challenges implementing the latest Surprise Medical Billing Interim Final Rule
HFMA’s Shawn Stack reviews the key provider challenges introduced by the IFC interim final rule with comment period (IFC) that implements sections of the federal ban on surprise medical bills.
A closer look at the new surprise billing regulations: How cost sharing will be calculated
The qualifying payment amount that establishes a patient's cost sharing for out-of-network care also is intended to factor into negotiations between providers and health plans regarding payment.
A closer look at the new surprise billing regulations: The impact on balance billing
New regulations on surprise billing will affect hospital billing processes starting in 2022.
How to ensure a positive patient financial experience
Creating the ideal patient billing experience not only improves revenue cycle performance, but also boosts patient satisfaction and quality scores.
Report finds fewer than a third of physicians continue to practice independently
About 70% of physicians were employed by health systems or corporate entities such as private equity firms and health plans at the start of 2021.
Government agencies issue the first set of regulations restricting surprise billing
In a development that many healthcare stakeholders have awaited for months, four federal agencies on Thursday, July 1 released new regulations prohibiting surprise billing in many scenarios.
Medicare should update its policies for separately payable drugs in the Outpatient Prospective Payment System, MedPAC says
Worthwhile changes include requiring drugs to be proven clinically superior before granting them pass-through payment status, according to a new report.
Healthcare News of Note: Struggling rural hospitals have option to become stand-alone EDs to receive more funding
Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: An upcoming option for rural hospitals to receive more funding, a key factor in outcomes of Black patients who receive COVID-19 care, and predictions about the hospital room of the future.
Supreme Court leaves Affordable Care Act intact, but stakeholders say healthcare reform still has a ways to go
Hospital advocates applauded a Supreme Court ruling June 17 that left the Affordable Care Act in place.