Operations and Other Technology

New federal rule aims to eventually ease prior authorization processes

CMS is seeking to improve the prior authorization process in government programs such as Medicare Advantage (MA) and Medicaid, although the core provisions would not begin until 2026. The agency this week updated a Trump administration proposed rule with new proposals to “improve patient and provider access to health information and streamline processes related to prior authorization…

Nick Hut December 9, 2022

Conserving capital expenses through clinical asset reallocation

Michelle Brandt is vice president of physician, ambulatory contracting & credentialing at MedStar Health in Columbia, Maryland About TRIMEDX As an industry-leading, independent clinical asset management company, TRIMEDX helps healthcare providers transform their clinical assets into strategic tools, driving reductions in operational expenses, optimizing clinical asset capital spend, maximizing resources for patient care, and delivering improved safety & protection. This published piece is provided solely for informational purposes. HFMA does not endorse the published material or warrant or guarantee its accuracy. The statements and opinions by participants are those of the participants and not those of HFMA. References to commercial manufacturers, vendors, products, or services that may appear do not constitute endorsements by HFMA.

HFMA December 1, 2022

Revenue cycle technology budgets rise to meet need for automation, AI and robotics, says new survey

See five areas where there is room for additional automation according to respondents in a recent survey. Also read about using AI in the revenue cycle and the benefits it brings hospitals and healthcare systems such as dealing with staffing challenges, dwindling margins and increased denial rates.

HFMA December 1, 2022

Expanded information-blocking rules under the 21st Century Cures Act are here

Hospitals and health systems are among the healthcare industry stakeholders that will be impacted when expanded rules on information blocking take effect Oct. 6.

Nick Hut October 4, 2022

Revecore helps hospitals increase revenue with technology-driven underpayment review and recovery solutions

Read about one company's singular focus with its underpayment review and recovery solutions is to stop the leakage and increase revenue. The company’s solution is built on unique, customized technology to collect dollars that would have otherwise gone unrecovered.

HFMA September 30, 2022

Ensuring healthcare providers bring in more revenue in a cost-efficient way

See how one company uses predictive analytics, advanced rules and expert auditors to reveal actionable insights that help hospitals increase revenue.

HFMA August 31, 2022

Virtual Intake Management® by PELITAS provides a digital experience with self-service options helping providers financially clear more than 75% of patients before service

One company explains how technology solutions help improve patient experience, maximize revenue and eliminate efficiencies throughout the revenue cycle.

HFMA August 31, 2022

Providing healthcare organizations with the right data to understand cost and margins

To address the healthcare industry’s challenges in waste, cost of care and inefficient data usage, one company discusses its support system to assist in decision support and for understanding cost and margins.

HFMA August 31, 2022

Hospitals can recover all eligible Medicare bad debts by automating the Medicare bad debt review process

One company addresses the challenges of complex rules regulating Medicare bad debt processes and reporting, which makes payment recovery for hospitals difficult.

HFMA August 31, 2022

Healthcare financial teams need accounting software that delivers clear, measurable results to navigate today’s challenges

One company uses its cloud-native financial accounting system to provide acute, ambulatory and post-acute organizations with data to solve their most complex challenges, focus on strategic initiatives, increase efficiency and drive growth.

HFMA August 31, 2022
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