Revenue Cycle

Revenue Cycle Strategist December 2019

The December 2019 issue of Revenue Cycle Strategist features articles on building a chargemaster, new coding changes for 2020, revenue integrity, evaluating and management charges and patient financing.

HFMA January 17, 2020

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

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.

Rich Daly December 12, 2019

E/M coding changes require education and technology updates

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

Jennifer Swindle December 7, 2019

5 new code changes focus on new medical technologies

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

Kim Felix, RHIA, CCS December 7, 2019

Defining revenue integrity KPIs

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

HFMA December 7, 2019

Strategies for positive impact on revenue integrity

Revenue integrity requires proper staffing and bring activities to the front end of the revenue cycle.

HFMA December 7, 2019

How a 3-phase approach can rebuild your chargemaster

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

Caroline DeLaCruz, RHIT, CCS-P, CPC December 7, 2019

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.

HFMA December 7, 2019

Analysis: CMS proposed rule could provide price data to inform physician referrals

While the proposed health plan price transparency rule will likely be challenged, if it survives those challenges, it will be far more impactful on health spending than the negotiated charge-posting requirement.

Chad Mulvany, FHFMA November 25, 2019

Getting to the root causes of denials

Root causes for denials should be defined operationally to determine the level of analysis required internally.

Denise Wilson November 18, 2019
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