Enterprisewide physician advisor programs are key to improving costs and revenue cycle performance
Hospitals and health systems must maintain a constant focus on containing costs and ensuring revenue integrity if they are to remain financially viable. But their efforts in these areas are often impeded by front-line providers who do not recognize how their day-to-day actions could have a negative impact on the organization financially. The problem often…
Surprise-billing arbitration updates include a lawsuit and new context on rate-setting approaches
A provider association that earlier won a lawsuit over the No Surprises Act arbitration process is going to court again over the same issue.
Recent changes to E/M coding mean time-based billing could be advantageous for longer visits, study finds
Depending on patient volumes, clinics could benefit from incorporating time-based billing instead of relying on CPT coding approaches.
HFMA presents the 2021 MAP Award for High Performance in Revenue Cycle to 32 organizations
Presented this year as part of HFMA’s Annual Conference Virtual Preview, the MAP Awards honored organizations that used innovative and effective strategies to achieve excellence in revenue cycle performance in 2020-21.
HFMA recognizes the 2020 winners of the MAP Award for revenue cycle excellence
During Day 4 of the Digital Annual Conference, HFMA recognized the 23 winners of the 2020 MAP Awards.
HFMA announces the 2022 MAP Award winners, recognizing excellence in the revenue cycle
Twenty-seven organizations received the 2022 MAP Award during the opening general session of HFMA’s Annual Conference.
Report finds fewer than a third of physicians continue to practice independently
About 70% of physicians were employed by health systems or corporate entities such as private equity firms and health plans at the start of 2021.
Healthcare News of Note: Report indicates uptick in hospital M&A activity
Healthcare News of Note for healthcare finance professionals is a roundup of articles from the past week, including more M&A activity in Q4, an extension of the COVID-19 PHE underway and FTC examination of claims data to help assess impact of physician group consolidation.
Be prepared: Two ways healthcare providers plan for the unexpected
Privia Health's senior vice president of revenue cycle management discusses physician practice strategies for effective patient financial conversations before service delivery, and in another type of "preparedness," a hospital CEO shares memories of Hurricane Harvey and the steps his facility took to maintain operations.
Practical tips for maintaining control over the revenue cycle
As evolving market trends shape healthcare payment, providers continue to face real-world, day-to-day challenges that contribute to unpaid claims, unnecessary denials, workflow inefficiencies, and rework. By implementing the recommendations outlined here, providers can obtain the necessary visibility and control over their claims payment processes that can help them not only sustain a healthy revenue cycle,…