Research Summary: 2024 Revenue Cycle Management Survey
HFMA, with sponsorship from Guidehouse, surveyed 134 healthcare executives to understand their revenue cycle challenges and opportunities. The survey found that payer challenges, prior authorization, and workforce are among the top three areas of stress for revenue cycle departments. To learn more, download the key findings from the survey.
How to Maximize your Medigap Market Share
A refreshed look at Medigap revenue, the opportunity that exists to increase market share, and the financial impact it has on healthcare organizations. This white paper presents three important considerations for healthcare finance leaders as they look to expand revenue streams and access a growing population of insured Medigap patients.
Harnessing automation in patient access for revenue optimization
Patient access is often treated like a stand-alone process instead of a vital part of the revenue cycle puzzle. The truth is that errors during this critical stage of the revenue cycle are often the cause of claim errors, delayed care and denials. In addition, as the first step of a patient encounter, the patient…
A key election question: What will happen to the enhanced Affordable Care Act subsidies?
Earl Pomeroy knows from experience that the politics surrounding the Affordable Care Act (ACA) are dicey. As a Democratic member of the House Ways and Means Committee, Pomeroy helped pass the ACA during his ninth term representing North Dakota. After that, “I lost my job,” he recalled. Since his time in Congress ended with his…
Revenue cycle management: The foundation of healthcare finances
Revenue cycle management in healthcare is the process of tracking revenue from patients, including patient registration, claim submission, reimbursement, and communication with insurance companies, and is essential for providing a positive patient experience.
FAQs about Patient Financial Communications
When is it OK to have financial discussions with patients? A reasonable attempt should be made to have the discussion as early as possible, before a financial obligation is incurred (i.e., before care is provided). Timely discussions
From Strategy to Operations
This white paper explores the pivotal role of outpatient and ancillary services in addressing these challenges and outlines a strategic revenue approach to change ancillary services from a cost center to a profit center.
Revenue cycle analytics and how providers can help create best practices for the industry
Erin Weber of CAQH discusses how providers can participate in the work of setting best practice guidelines, and Lori Zindl of OS Inc. and Rachel Dallman of Phelps Memorial Health Center talk about opportunities to learn from analytics.
Report: Payer requests for information are slowing reimbursement
Payers are increasingly rejecting claims through requests for information (RFI) that in total serve no purpose other than to delay reimbursement, according to “Death by a thousand requests,” a report from consulting firm Kodiak Solutions. RFI claim denial rates as a percentage of total billed charges climbed to 3.82% in 2024 through May, up from…
Unlock Financial Stability and Growth: The Essential Role of Non-Recourse Patient Financing in Healthcare
Download this white paper to learn how your healthcare organization can utilize non-recourse patient financing as a powerful alternative to traditional collection methods, offering benefits like predictable revenue, reduced bad debt, and improved cash flow.