Healthcare Revenue Cycle

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

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.

By Rich Daly October 26, 2020

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.

By Rich Daly October 23, 2020

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.

By Eric Fry October 23, 2020

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.

By Kurt Hopfensperger, MD, JD October 23, 2020

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.

By Chad Mulvany, FHFMA October 22, 2020

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.

By Joseph J. Fifer, FHFMA, CPA October 13, 2020

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
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