New data shows providers continuing to win most No Surprises Act independent dispute resolution cases
Providers won a large majority of disputes initiated during the first half of 2023 through the No Surprises Act’s arbitration portal for adjudicating out-of-network payments, according to newly published data. HHS and the U.S. Departments of Labor and Treasury released public-use files (available to download here under “2023 Reporting Year”) showing the outcome of every…
Patient access: The key to a healthy revenue cycle
As hospitals and physician groups face ongoing labor shortages and skyrocketing costs, maintaining effective Patient Access processes is critical. Ensuring efficiency and accuracy upstream helps prevent delayed reimbursement downstream—while supporting a positive patient experience. Download this whitepaper to explore the three patient access processes that can help protect revenue and improve the patient experience. Identify…
Enterprisewide physician advisor programs are key to improving costs and revenue cycle performance
Making sure physicians understand the financial implications of how they document their care is critical to a health system’s financial sustainability.
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.