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Trend | Revenue Cycle

Revenue Cycle Strategist December 2019

Trend | Revenue Cycle

Revenue Cycle Strategist December 2019

Read the following articles featured in the December 2019 issue of HFMA's Revenue Cycle Strategist newsletter.

Download a PDF of the issue.

Chargemaster

How a 3-phase approach can rebuild your chargemaster

By Caroline DeLaCruz and Joseph J. Gurrieri

Review, analysis and revision are key components of a successful chargemaster review.

2020 ICD-10 update

5 new code changes focus on new medical technologies

By Kim Felix

The 2020 ICD-10 updates are not as significant as expected, but there are new codes for new medical devices and related procedures.

Revenue integrity

Defining revenue integrity KPIs

From our Sponsor, Parallon

A strong revenue integrity program can help healthcare providers preserve the margins that further the mission of delivering high-quality healthcare.

Coding

E/M coding changes require education and technology updates

By Jennifer Swindle

In 2021, major evaluation and management code changes will be implemented for new and established patient office visits.

Medicare payment and reimbursement

OPPS final rule keeps site-neutral payments and 340B cuts; finalizes transparency requirements separately

By Rich Daly

The controversial major hospital payment cuts in the Outpatient Prospective Payment System (OPPS) final rule were retained from the proposed rule even though hospitals successfully have challenged them in federal court.

Figure at a glance

Long-term financing rises as top patient concern

An overwhelming majority of respondents to a survey patient payment experience say they need more than 12 months to repay their healthcare costs.

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Nearly 64% more members enrolled in HFMA certification courses during the COVID-19 pandemic compared with the same six-week period last year

HFMA members are putting their work-from-home situations and downtime due to stay-at-home directives to good use: 2,171 members passed HFMA certification exams between March 13 and April 27, 2020.

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Online community value is apparent amid the COVID-19 outbreak

There has been a surge of activity in HFMA's Community groups since the onset of the COVID-19 pandemic, as HFMA members seek to share insights with their peers to help them respond to the crisis.

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Don't skip the patient conversation when payer coverage for coronavirus is unclear

Whether holding charges or billing, healthcare organizations should be communicating with patients about their financial responsibility.

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CRCR certifications surge with Enterprise Membership

Change Health has encourage staff on its provider account management team to obtain HFMA's CRCR certification, with the result that the number of staff members who have achieved the certification has skyrocketed.