Healthcare Revenue Cycle

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

HHS extends Provider Relief Fund use and reporting as healthcare providers continue to navigate COVID-19 impacts

The U.S. Department of Health and Human Services recently announced updates to the Provider Relief Fund, including staggering provider deadlines to spend funds.

By Shawn Stack June 15, 2021

HHS sends letter to providers, insurers reinforcing requirements for COVID-19 vaccination and testing to be free for all recipients

Xavier Becerra, secretary of HHS, issued a letter emphasizing that out-of-pocket fees for COVID-19-related services are prohibited.

By Nick Hut June 13, 2021

UnitedHealthcare reverses course on new approach to emergency department claims, but perhaps only temporarily

UHC had announced this week that it would evaluate claims starting July 1 to determine whether ED visits were for emergent or nonemergent events.

By Nick Hut June 10, 2021

Looming UnitedHealthcare policy on coverage of emergency department care draws opposition from hospitals, physicians

In a move strongly opposed by provider associations, UnitedHealthcare soon will start denying coverage of ED care that it deems to have been nonemergent.

By Nick Hut June 10, 2021

CMS nearly doubles the payment rate for administering the COVID-19 vaccine in a Medicare beneficiary’s home

A payment increase for in-home COVID-19 vaccine administration is part of a strategy to improve vaccination rates, which have slowed in recent weeks.

By Nick Hut June 10, 2021

Solving revenue cycle challenges with automation: 4 tips for maximizing your ROI

The healthcare revenue cycle is ripe for the kind of transformative change that automation technologies can bring. In fact, there may be no better application for these technologies.

By HFMA June 7, 2021

2 proven strategies that can help healthcare providers reduce denials and strengthen their revenue cycle

Healthcare providers should consider the use of two proven strategies to reduce claim denials: Maximize reps follow up ability and close the gap between the front end and back end with a continuous feedback loop.

By HFMA June 7, 2021

Survey data highlights shortcomings in private insurance coverage compared with Medicare

Indicators of coverage gaps were more likely to be seen among individuals with private insurance.

By Nick Hut June 2, 2021

Nearly 64% more members enrolled in HFMA certification courses during the COVID-19 pandemic compared with the same six-week period last year

HFMA members are putting their work-from-home situations and downtime due to stay-at-home directives to good use: 2,171 members passed HFMA certification exams between March 13 and April 27, 2020.

By Deborah Filipek June 2, 2021

USA Senior Care Network provides hospitals with incremental patient volume and increased revenue

One company’s senior director explains how hospitals or health systems can grow their market share without risk of bad debt when joining this company’s network.

By HFMA June 2, 2021
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