10 Vital Responses to Healthcare Disruption
Disruption is reverberating throughout the healthcare industry, and it’s incumbent on legacy organizations to develop strategic responses for the benefit of their consumers, their communities and themselves. With that overarching challenge becoming ever more pressing, HFMA’s 2023 Spring Thought Leadership Retreat brought together leaders from across the industry May 4-5 in Atlanta to consider approaches…
4 opportunities to improve mid-cycle revenue operations
The quality of a hospital’s revenue cycle processes directly impacts the health of its bottom line. In an age of stagnant margins, hospitals should do all they can to improve revenue cycle efficiency. The mid-cycle—that critical phase between patient registration and claims submission — is a great place to start. Numerous challenges arise during this…
Annual Conference: How Mayo Clinic establishes the mindset and processes that foster innovation
Hospitals and health systems must adapt their practices using an innovator’s mindset to keep up with the change sweeping the industry, according to a presentation this week at HFMA’s Annual Conference. “Innovation, at this point in our industry’s landscape, is pretty critical,” said Praveen Mekala, enterprise division chair with Mayo Clinic, referring to the problems…
Annual Conference: For hospitals, effective chargemaster management can bolster revenue capture
Amid the changes and challenges buffeting the hospital and health system sector, chargemaster management remains a key step in protecting revenue, according to a presentation this week at HFMA’s Annual Conference. At University of New Mexico Hospital (UNMH), a recent chargemaster initiative began with a thorough review, said Holly Cruz, senior financial analyst with University…
Annual Conference: HFMA MAP Award winners for High Performance in Revenue Cycle unveiled
At a time when healthcare executives must balance intensely competing priorities, 15 healthcare organizations have shown they can address revenue and patient engagement challenges successfully and, as a result, have earned a 2023 HFMA MAP Award for High Performance in Revenue Cycle. This year’s group of winners, announced June 25 in Nashville at the HFMA…
International member spotlight: Deepa Gigeesh aspires to reach new career heights
HFMA recently spoke with Deepa Gigeesh, revenue recovery officer at Sheikh Shakhbout Medical City (SSMC), Abu Dhabi, UAE. SSMC is HFMA’s first international Enterprise Solutions member, which allows SSMC’s healthcare finance staff to access HFMA tools, resources and education that align with their career development and business goals. Please describe your current position and job…
Denials Management Research Report
HFMA, with sponsorship from Waystar, surveyed 415 healthcare finance and revenue cycle executives to understand how denials are affecting their revenue cycle operations.
Survey reveals 5 opportunities to tackle denial prevention and management
In this survey, responses found when organizations devote greater resources to denial management than to denial prevention, their rate of first-pass denials is higher: 13.6% versus 10.9%.
Healthcare Blame Game podcast: Reporters are knee-deep in press releases. Most lack context.
Media veteran Jean Hodges joins Brad to discuss a Washington Post error and the inner workings of the modern newsroom.
As anticipated, the start of the Medicaid unwinding process has taken a toll on coverage
Fears among healthcare policymakers that the end of the COVID-19 public health emergency would sow chaos in Medicaid have been realized, leading the Biden administration to intensify its mitigation efforts. The end of Medicaid continuous-enrollment provisions is affecting the program in many states. In 21 states that had begun the “unwinding” process since April 1,…