Billing and Collections

Patient Access and Revenue Cycle Analytics: Perfect Together, Yet Often Ignored

Healthcare providers can improve patient experience, increase point-of-service payments, and reduce denials by raising visibility into eligibility and registration processes and using root cause analysis to drive corrective action.

Jason Williams May 10, 2018

Avoid ED Claim Challenges by Developing CDI Teams

UnitedHealthcare’s new policy of auditing certain emergency department claims should prompt hospitals to seek the expertise of clinical documentation improvement teams in outpatient claim processing. 

Lola Butcher May 9, 2018

Ask the Experts: Credit Balances

How do other Florida hospitals initiate and work credit balances?

HFMA May 8, 2018

Revenue Cycle Departments Increase Productivity

A two-year rise in revenue cycle department productivity is attributed to outsourcing and staff ability to handle more claims in less time.

Jeanne Slates May 3, 2018

Metro Health Improves Cash Flow by Offering New Payment Options

Metro Health’s payment options include community benefit discounts, charity care sliding scales, and a zero-percent interest payment plan, which has improved cash flow and flattened bad debt.

Laura Ramos Hegwer May 3, 2018

Ask the Experts: ED Charges

Are any providers posting average charges according to the visit level assigned (1-5), or using any other method to make patients aware of the cost of an emergency department visit?

HFMA April 17, 2018

Ask the Experts: Cost Sharing Programs

I am looking for more information about how to manage patients covered by cost sharing programs.

HFMA April 17, 2018

Taking Steps Toward Improved Customer Experience

The study reveals that patients feel as obligated to pay their healthcare providers as they do other professional services; however, their understanding of what they owe, when they owe it, and their options to pay are far less clear.

Kermit S. Randa April 10, 2018

How Geisinger Maintains Strong Revenue Cycle Performance During M&As

Geisinger Health System leaders have been able to return to previous revenue cycle performance levels within 90 days or less during their integrations. Their strong performance continues today as demonstrated by the health system’s award-winning revenue cycle department.

Laura Ramos Hegwer April 10, 2018

Removal of CMS Regulatory Language May Leave Providers Vulnerable on EFT Fees

April 6—Some healthcare providers are fretting over the disappearance of a section on the Centers for Medicare & Medicaid Services (CMS) website that prohibits fees on provider payments made through electronic funds transfers (EFTs), saying the absence of such language could allow third-party administrators to short their income.

Cheryl V. Jackson April 6, 2018
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