The impact of claims denials on the financial health of healthcare
While their hospitals and healthcare centers have long had to deal with claims denials, the number of denied claims continues to rise and payers are showing little inclination to help solve the problem, according to several roundtable participants.
Best practices for relieving unprecedented cost pressures facing healthcare providers
Due to labor cost increases, inflation, declining Medicare reimbursements and other reasons, health systems across the nation are feeling a new financial strain after the height of the pandemic.
Creating sound strategies to manage compensation and benefits regardless of where your employees reside
No doubt there are significant cultural and financial benefits to supporting continued remote and hybrid work in healthcare, particularly in billing/coding, call center, scheduling and administrative roles. Healthcare, however, faces specific challenges as they seek to demystify multi-state tax rules.
Navigating payer practices to reduce denials and enhance outcomes
The friction between payers and providers has existed for decades. It’s understandable to an extent. Payers want to reduce expensive and unnecessary treatment, eliminate fraud and lower financial risk. Providers want to be able to make decisions regarding their patients’ care without having to navigate the hurdles of medical necessity, prior authorization and complex payer…
The patient as the new payer: 5 opportunities to improve the patient financial experience
Patient collections have become an increasingly difficult challenge for hospitals due primarily to a shift in payer mix. Because of rising deductibles and increased patient responsibility, the percentage of healthcare provider revenue collected directly from patients increased to more than 30% from less than 10% over ten years, according to an article from HITLeaders. Faced…
2023 Change and Strategy Research Report
HFMA, with sponsorship from Guidehouse, surveyed 182 health system CFOs, CEOs, and other executives to understand how staffing and patient volumes are expected to change in 2023, and how various market factors may be influencing strategy and goals.
4 tips for simplifying prior authorizations
Healthcare spending in the U.S. has reached what many consider to be unsustainable levels. While spending in other developed nations averaged 8.8% of GDP in 2019, it was nearly double that in the U.S. at 16.8%. One of the major contributors to this spending is administrative waste, which accounts for up to 30% of our…
Revenue Cycle Operations Research Summary Report
HFMA, with sponsorship by Currance, surveyed 110 healthcare CFOs and revenue cycle, finance and accounting executives to understand how satisfied healthcare providers are with their current revenue cycle operations, and what they find most valuable.
Finance and IT Collaboration Survey Report
HFMA, with sponsorship by CereCore, surveyed 238 healthcare CFOs and finance executives to understand what healthcare finance professionals expect from their IT colleagues, how they currently collaborate and what improvements can be made.
Prioritization helps drive success in healthcare
A survey found that the most successful healthcare organizations are those that embrace consumerism and proactively seek ways to better meet patient needs.