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Article | Revenue Cycle

Revenue Cycle Insights: January 2022

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Article | Revenue Cycle

Revenue Cycle Insights: January 2022

Just because new surprise billing regulations are now in force doesn’t mean your healthcare organization is ready. You can find plenty to help with that in this month's issue, including Senior Editor Nick Hut’s breakdown of what’s needed in one of the more contentious areas of the law, in our lead story. 

New surprise billing regulations add to burden with requirements about good-faith estimates

Providers have had a mere three months to implement the processes needed to comply with a new requirement to furnish uninsured patients with good-faith price estimates ahead of services.

Researchers find glaring issues with federal price transparency requirements

One study looked at the extent to which independent providers contribute to the cost-of-care episodes and thus limit the insight to be gained from posted hospital prices.

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No Surprises Act: Short-term and long-term operational areas of focus

After sprinting to implement the requirements of the No Surprises Act by the Jan. 1, 2022, deadline, providers must now shift attention to refining their processes for what lies ahead.

New surprise billing regulations call for assessing a patient’s network status

Providers should ensure they have efficient processes for gauging whether a patient is in-network.

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Revenue Cycle Insights: May 2022

No Surprises Act implementation continues. Though arbitration cases are expected to be addressed in a slow fashion at first, there may be some related regulatory changes that favor providers, Nick Hut reports.

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A best-practice approach to coding, coding quality and compliance improves reimbursement

Healthcare providers need to ensure they are accurately paid for the care provided, and that starts with timely, correct and consistent coding. This critical revenue cycle process codifies the clinical care performed and documented.

Article | Denials Management

Strategic alternative dispute resolution offers providers key to substantial claim recoveries

To be able to effectively handle disputes over healthcare claims, providers must be well-informed about the two basic types of alternative dispute resolution that can help them achieve favorable results: arbitration and mediation.

How To | Cost Effectiveness of Health

Cost Effectiveness of Health Report, April 2022

The April 2022 edition of HFMA’s Cost Effectiveness of Health Report includes a preview the May issue of hfm, which focuses on telehealth, a key tool for promoting value-based care CEoH. Another article explores ways to promote health equity in revenue cycle processes, and a case study describes how one health system embarked on an initiative to achieve greater diversity among its revenue cycle staff.