Healthcare Revenue Cycle Management

New data points to financial upsides in rethinking patient payment plans

According to a recent survey conducted with more than 200 healthcare finance professionals, providers struggle to obtain out-of-pocket costs from patients. Now, providers collect just 24% of patient billings, or the amount owed after insurance covered its portion.

By HFMA July 24, 2025

How Smarter Revenue Cycle Strategies Can Ease Workforce Strain

You don’t just care about patient outcomes. You also care about the people you employ and the economic health of your community. So how can you keep up with modern demands on your organization while continuing to champion your employees? Surprisingly, by outsourcing your revenue cycle management. In this whitepaper we’ll breakdown all the reasons…

By HFMA July 17, 2025

Revenue Cycle Claims, Denials and Appeals Research Report

This report surveyed 172 healthcare executives to understand how denial challenges and payer complexities are affecting hospital revenue cycle operations.

By HFMA July 2, 2025

Redefining healthcare financial KPIs in a post-COVID era: A strategic imperative

The COVID-19 pandemic compelled hospitals and health systems to rethink nearly every aspect of their operations. Nowhere was the disruption more profoundly felt than in the revenue cycle. Long-standing financial key performance indicators (KPIs) such as accounts receivable (AR) days, clean claim rates and denial percentages, quickly lost their relevance amid staffing shortages, unpredictable patient…

By HFMA July 1, 2025

Insurers, patients pay less of their bills

Healthcare providers faced growing challenges last year in getting paid for care among patients covered by insurance, according to new benchmark data from Kodiak Solutions. And it was both insurers and patients who were lagging in payment or not paying at all. Denials of coverage by health plans, already a problem in 2023, increased during…

By Paul Barr, MS, MBA, CRCR June 5, 2025

5 key strategies for a successful mid-cycle

Today’s mid-cycle teams face mounting pressure. Oversight is tightening, payer policies are shifting rapidly and margins continue to shrink. This phase is no longer a simple pass-through, it’s a vital operational checkpoint that demands both strategic leadership and attention to detail. Hospitals that implement structure and prioritize accuracy tend to stay ahead. Those that don’t…

By HFMA June 2, 2025

How Revco Solutions maximizes cash recoveries and improves the patient financial experience

Learn how one company optimizes revenue recovery through proactive denial prevention, clean claims strategies and intelligent automation — ensuring faster, more accurate reimbursement.

By HFMA May 30, 2025

How to strengthen eligibility determination with a proactive approach

How can healthcare revenue cycle teams strengthen engagement around eligibility determination and improve patient satisfaction, operational efficiency and their bottom line? Discover solutions to these challenges in this white paper.

By HFMA May 30, 2025

Fortifying revenue management: The critical role of health information management in cybersecurity preparedness

A hospital’s health information management (HIM) team oversees the flow of patient care documentation in healthcare organizations, supporting accuracy, accessibility and security. In the revenue cycle, HIM maintains financial integrity by managing patient data, ensuring proper coding and documentation for billing and verifying clinical data for compliance and reimbursement. HIM also plays an active role…

By HFMA May 7, 2025

CFPB no longer supports the final rule on medical debt reporting

The Consumer Financial Protection Bureau (CFPB) has formally withdrawn its support for a Biden administration rule that would keep medical debt from appearing on consumer credit reports. The rule has been staunchly opposed by the credit-reporting and debt collector industries and also has generated concern among provider advocates who think it could remove an incentive…

By Nick Hut May 6, 2025
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