Healthcare Revenue Cycle

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

HFMA Claim Integrity Task Force seeks to standardize denial metrics

A new task force is looking to improve the data and KPIs needed to further reduce denials.

By Erika Grotto April 16, 2021

How providers should prepare for No Surprises deadlines

Nick Hut talks with John Friedel from Abeo about the No Surprises Act and what providers should be doing now to prepare.

By Erika Grotto April 9, 2021

Vaccine, vaccine, vaccine, vaccine: How Sanford Health System is communicating with patients about getting their shots

Matt Hocks from Sanford Health System describes his organization’s strategy for communicating with patients about the vaccination plan. Ken Baxter from Children’s Hospital of Orange County discusses the revenue cycle challenges of the pandemic. This episode was sponsored by Cerner.

By Erika Grotto April 1, 2021

Healthcare News of Note: Fewer patients translates to a small reduction in charity care spend for hospitals

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles, including a reduction in charity care in 2020 due to fewer patients, a review of physician burnout and moral injury data, and what early adopters are doing to test 5G.

By HFMA March 31, 2021

How revenue cycle teams can maintain effective patient financial services in a distanced world

Amid the challenging times of COVD-19, it is critical for revenue cycle leaders to educate themselves about best practices either created or refined during the pandemic to effectively promote patient financial engagement in today’s world of social distancing.

By Craig Webster March 29, 2021

3 questions with Katie Gilfillan: Why it’s time for the healthcare industry to address cost effectiveness of health

HFMA’s director of professional practice and clinical relationships discusses the importance of the Association’s Cost Effectiveness of Health event.

By Deborah Filipek March 29, 2021

Financial Sustainability Report: February 2021

The February Financial Sustainability Report, sponsored by Kaufman Hall, explores emerging issues pertaining to physicians, including physician compensation and payment for services. It also includes insight into the impact of denials on value-based payment.

By HFMA March 25, 2021

HHS delays implementation of rule requiring FQHCs to provide insulin, epinephrine at 340B prices

HHS has postponed a Trump administration regulation that would require federally qualified health centers to make certain drugs more affordable for low-income patients and will consider whether to withdraw the rule altogether.

By Nick Hut March 24, 2021

Disproportionate Share Hospital funding to states doesn’t match up with key benchmarks, report finds

Disproportionate Share Hospital payments don’t always align with key metrics such as uninsured rates and uncompensated care costs, a new policy report finds.

By Nick Hut March 17, 2021

Providers that administer the COVID-19 vaccine are getting a payment bump from CMS

Providers will receive an increase in the Medicare payment rate for administering the COVID-19 vaccine starting March 15, CMS announced.

By Nick Hut March 15, 2021
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