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…
Ascension’s investment in R1 RCM pays off with $1.1 billion valuation
R1 RCM signed a definitive agreement to be acquired in full by funds affiliated with investment firms TowerBrook Capital Partners — currently a partial owner — and Clayton, Dubilier & Rice for $8.9 billion including about $3 billion in debt. The deal values the revenue cycle management company at $14.30 per share, which would attach…
Navigate the new norms in telehealth billing and coding practices
While telehealth has been around for decades, its adoption soared during the COVID-19 pandemic. According to the American Medical Association, telehealth use grew 70% in 2020. While the use of telehealth since then has leveled off, it remains a valuable and popular care option. More than half of patients surveyed said they prefer telehealth for…
Moody’s sees potential positive RCM impact from AI
Ratings agency Moody’s Investors Service has joined other industry players in identifying ways artificial intelligence can create efficiencies in revenue cycle management. The growing use of the technology potentially could bring accounts receivable balances down and minimize write-offs of past-due balances, according to the three authors of a report published in the company’s “Healthcare Quarterly”…
International member spotlight: Deepa Gigeesh aspires to reach new career heights
HFMA recently spoke with Deepa Gigeesh, revenue recovery officer at Sheikh Shakhbout Medical City (SSMC), Abu Dhabi, UAE. SSMC is HFMA’s first international Enterprise Solutions member, which allows SSMC’s healthcare finance staff to access HFMA tools, resources and education that align with their career development and business goals. Please describe your current position and job…
Out of the back office, into the spotlight: 5 skills revenue cycle leaders need
Healthcare has changed tremendously over the past decade. From increasingly complex payer requirements to growing federal and state regulations to a substantial change in the payer mix (patients are now the second largest payer (27%) behind the federal government (34%), which is mostly Medicare and Medicaid). Today’s revenue cycle is an entirely new animal. What…
Member spotlight: Reaching out to learn and lead are hallmarks of Nimisha Madhu’s approach to revenue cycle management work
Nimisha Madhu enjoys exploring and learning about new areas in revenue cycle management (RCM) and then using her knowledge to deliver positive outcomes to her co-workers. Madhu, billing and recovery officer at Sheikh Shakhbout Medical City (SSMC) in Abu Dhabi, recently shared with HFMA’s International Update how she is using her HFMA international membership to…