Deconstructing the CMS price transparency rule
By Jan. 1, 2021, hospitals and health systems must create and make public a list of standard charges for the top items and services they provide, per CMS. An executive discusses the challenges and opportunities this presents in this overview.
Reimagining the revenue cycle today to benefit us tomorrow
In this executive roundtable, eight revenue cycle leaders share their insight on what new innovations the healthcare revenue cycle will see following COVID-19 and how the pandemic changed the ways in which revenue cycle leaders think about technology investment.
Hoping to avoid being overwhelmed, safety-net hospitals urge COVID-19 prevention
Safety-net hospitals are urging the public to take COVID-19-prevention steps to keep from overwhelming the facilities.
The payer episode: CMS interoperability rules and provider strategies for better conversations
Chris Hobson, from Orion Health discusses CMS’s upcoming deadline for interoperability requirements for payers and Geneva Schlabach from Vispa and Mike Duke from Baker Tilly talk about denials management.
In partial win for providers, HHS revises COVID-19 grant reporting
HHS revised guidance affecting $100 billion in Provider Relief Fund grants after pushback from providers.
Employers again are planning to expand their use of narrow networks, survey finds
Large employers again say they plan a big increase in the use of narrow networks, a scenario made more likely by the pandemic.
Why healthcare providers should rethink their approach to self-pay collections | HMA
Prepayment is an option for patient self-pay collections that can contribute to a positive experience for patients and improved revenue cycle performance for a provider organization.
How to prevent silent denials from eroding a hospital’s margin
Hospitals should take steps to prevent silent denials. Such denials are a common result of inaccuracies introduced as a result of clinical conservatism, which can have an impact on reimbursement before a claim is submitted.
Latest HHS provider relief fund FAQs offer insight into what’s permissible under the Sept. 19 reporting requirements
HFMA's Chad Mulvany says due to HHS's whipsaw approach to the provider relief fund FAQs and guidance, any clarity to be derived from the Phase 3 application instructions and FAQs needs to be considered with a measure of caution.
Racial disparities in business processes can exacerbate financial barriers to healthcare: What leaders should know
HFMA President and CEO Joe Fifer explains what healthcare leaders can do to reduce health inequities related to business operations.