Healthcare Revenue Cycle

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

Financial Sustainability Report: March 2021

The March Financial Sustainability Report, sponsored by Kaufman Hall, highlights significant changes in the nature of risk that hospitals and health systems face in the post-pandemic world, and how these organizations’ leaders should respond. Other articles explore key success factors in M&A initiatives and tactics for controlling variation in costs for surgical procedures.

By HFMA June 1, 2021

Financial Sustainability Report: April 2021

The April Financial Sustainability Report, sponsored by Kaufman Hall, offers results of a health system’s assessment of its costs to deliver telemedicine services. Other content includes a case study of how a large medical group revamped its approach to compensating its employed physicians, and guidance on how to stem the losses many hospitals incur around referrals for ambulatory services.

By HFMA June 1, 2021

Financial Sustainability Report: May 2021

The May Financial Sustainability Report, sponsored by Kaufman Hall, describes a new method for compensating physicians that better accounts for each organization’s unique circumstances. It also includes guidance for finance and clinical leaders on how they can work together effectively while acknowledging their differences, and it examines how payer-provider partnerships are helping organizations keep pace with a transforming healthcare industry.

By HFMA June 1, 2021

New CMS Administrator Chiquita Brooks-LaSure gets ready to tackle surprise billing, rural healthcare and much more

During her Senate confirmation hearing, Brooks-LaSure said strengthening Medicare, Medicaid and the Affordable Care Act to bolster quality and access while lowering costs will be paramount.

By Nick Hut May 28, 2021

Democratic congressional leaders ramp up efforts to craft a health insurance public option, generating hospital pushback

Leading Democrats in the House and Senate sent out a request for information to healthcare stakeholders, seeking input as they look to establish a public option for health insurance.

By Nick Hut May 26, 2021

Inside HFMA: It’s time for healthcare providers to standardize denials performance measurement

HFMA’s Claim Integrity Task Force, in collaboration with business partners, set out to scope and define metrics that could be adopted industrywide for benchmarking.

By Chuck Alsdurf May 26, 2021

Healthcare News of Note: Hospitals ignoring federal price transparency rules get warning letters from CMS

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: CMS letters warn hospitals to abide by price transparency rules, fewer mental health services are available during the pandemic and the number of private-practice physicians undergoes a historic shift.

By HFMA May 14, 2021

3 reasons healthcare providers are eager to offer text-to-pay convenience

Healthcare providers should consider the benefits of offering a text to pay option for their patients.

By HFMA May 5, 2021

New HRSA funding is available to providers that administer the COVID-19 vaccine and don’t receive full payment from a health plan

The Health Resources and Services Administration announced a new program to reimburse healthcare providers for administering COVID-19 vaccines to patients whose health plans either do not cover vaccination fees or require cost-sharing.

By Nick Hut May 4, 2021

Amid the COVID-19 pandemic, research finds hospital organizations looking to capitalize on the benefits of ‘systemness’

In a survey of hospital strategic planners, larger health systems were substantially more likely to report that their volumes had reached or exceeded pre-COVID-19 levels.

By Nick Hut April 30, 2021
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