Understanding the Problem of Claim Processing Waste
Even small improvements in connectivity and transparency could save a few dollars per healthcare claim, which adds up very quickly.
United HealthCare ACO Contract Emphasizes Quality
The NexusACO health plan incentivizes patients to use top-performing physicians.
Video: How to Ensure a Clean 340B Audit
Effective 340B compliance requires thinking beyond 340B as a pharmacy program.
Meet Your New Boss
A change in CEO presents opportunities for hospital and health system CFOs to understand the expectations and style of their new bosses and become valuable team members.
Prioritizing Accounts Helps Sanford Health Lift Patient Payments by $2.1M
Scoring and segmenting patients according to their propensity to pay, combined with using an automated dialer, can significantly improve the productivity of patient account teams.
Contracting With Physicians to Tackle Pervasive Challenges
Hospital efficiency improvement programs allow organizations to address quality and efficiency goals across service lines by providing all inpatient-focused specialties with financial rewards if they achieve specific outcomes.
How CMS Leveled the Playing Field for Hospital Readmission Penalties
A new rule finalized by CMS acknowledges that charging hospitals with higher percentages of dual eligibles the same readmission penalties as hospitals with fewer of these patients. The proposed penalty adjustment will reflect the challenges facing each hospital's populations.
Critical Access Hospital Makes Transparency a Priority
Henry County Health Center has simplified patient billing and added a patient estimator tool to enhance the patient experience and improve collections.
Moving Toward a Revenue Ecosystem
To maximize results, healthcare finance leaders should establish an integrated view of the organization’s entire revenue ecosystem, aligning across organizational strategy, payer contracting, clinical operations, and revenue cycle drivers.
Compliance Analytics: There’s Gold in the Data
Compliance can become a financial asset. For example, data mining provides opportunities to improve vague or incomplete clinical documentation, weak internal communication, overly conservative or inconsistent coding, and physician education, all of which improve the bottom line and reduce risk.