Healthcare Revenue Cycle

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

Rep. Suzan Delbene’s value-based payment legislation and Humana’s population health milestone in Medicare Advantage markets

Rich Daly interviews Rep. Suzan Delbene about the Value in Health Care Act, proposed legislation that would make a series of hospital-supported changes to value-based programs operated by Medicare. Andrew Renda of Humana talks about how the company improved Healthy Days in Medicare Advantage markets. In a sponsored segment, MedAssist Senior Vice President Nate Allen and Carilion Clinic's Vice President of Revenue Cycle Brett Tracy discuss Medicaid expansion in Virginia.

By Erika Grotto October 12, 2020

Self-pay A/R best practices, Stark Law with Rep. Roger Marshall and CMS’s price transparency rule

Chad Mulvany talks with members of the task force that developed recommendations around self-pay accounts receivable best practices, Rich Daly interviews Rep. Roger Marshall about his efforts to get CMS to speed up their overhaul of Stark and Antitrust laws. Gregory Adams from sponsor organization Panacea discusses some aspects of CMS's price transparency rule that hospitals might be missing.

By Erika Grotto October 12, 2020

Remote revenue cycle challenges, job hunting tips and how to share your good news with HFMA

Kim Scaccia from Wisconsin-based Mercyhealth discusses how her organization cracked the code on a remote work force. Quintin Smith from Baker Tilly talks about staying positive after a layoff. And HFMA's Jennifer Novoseletsky tells us how members can share their good news with each other. Jen's contact info: Email: [email protected] Twitter handle: @JenNovo_HFMA

By Erika Grotto October 12, 2020

CMS Administrator Seema Verma receives HFMA’s Board of Directors Award, talks with CEO Joe Fifer

At HFMA's Digital Annual Conference, President and CEO Joe Fifer presented CMS Administrator Seema Verma with the Association's highest honor: the Richard L. Clarke Board of Directors Award in recognition of her outstanding contributions to healthcare in a role that involves oversight of a $1 trillion budget, representing 26% of the total federal budget, and administration of health coverage programs for more than 130 million Americans. Following the presentation, Fifer and Verma had a Q&A session in which she addressed price transparency, the pandemic, and the future of value-based care.

By Erika Grotto October 12, 2020

Hospitals get relaxed Medicare repayment terms, short delay of DSH cut in federal funding bill

Hospitals will get some flexibility in the repayment of Medicare advance payment loans and a delay in uncompensated-care payment cuts under a new federal funding law.

By Rich Daly October 7, 2020

Major insurers roll back no-cost sharing telehealth services

HFMA's Chad Mulvany says patients who received a surprise bill for a telehealth visit will likely blame the provider.

By Chad Mulvany, FHFMA October 7, 2020

Better together: How TPC’s collaborative platform helped members achieve $30 million in revenue cycle improvement

An initiative that incorporates HFMA’s MAP Keys has significantly reduced vendor management costs, enhanced net revenue and strengthened efficiency and performance among 11 collaborating health systems.

By Jeni Williams October 1, 2020

HFMA issues updated patient bill payment guidelines amid pandemic, public pressure

HFMA recently updated its industry guidelines on billing dispute resolution practices in response to the financial challenges of the pandemic and public pressure.

By Rich Daly September 30, 2020

Physician Viewpoint: What we should learn from the coronavirus experience

The COVID-19 crisis has presented healthcare leaders with a broad opportunity for self-reflection that ultimately could lead to positive change accross our nation's healthcare system.

By Martin Bluth September 21, 2020

Deductibles rising, underinsurance rates worsening in individual coverage, survey finds

Deductibles and underinsurance are increasing among those with individual-market coverage.

By Rich Daly September 19, 2020
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