Billing and Collections

Ask the Experts Answer: Industry Standard Off-Billed Charge

We are a niche DME provider trying to set a patient pay rate for those who are either under insured, don’t have insurance or are out-of-network. What would an industry standard discount off-billed charge look like for those without benefits and when we don’t incur the cost to bill the third party?

HFMA October 25, 2012

Ask the Expert: Insurance Claim Standards

Q What are the healthcare industry standards for the number and dollar amount of insurance claims worked for a collector per day, week, and month?  A Unfortunately, there are no industry standards or KPIs available at this time. However, providers

HFMA October 25, 2012

Ask the Expert: Getting Staff to Embrace Bedside Registration

Advice for revenue cycle leaders on getting hospital staff to adopt bedside registration or workstations on wheels.

HFMA October 25, 2012

Ask the Expert: CMS Statements for Medicare Patients

States--not CMS--have regulations in place related to timely patient notification of the availability of financial assistance/charity, as well as a statement that includes a summary of charges.

HFMA October 25, 2012

Ask the Expert: Patient Price Estimation

Advice for revenue cycle leaders on HFMA and online resources for determining patient price estimation.

HFMA October 25, 2012

Ask the Expert: Patient Responsibility Estimation

Advice for revenue cycle leaders on approaches for estimating patient responsibility.

HFMA October 25, 2012

Ask the Expert: Setting Industry Standards for Call Center Activities

Advice for revenue cycle leaders on how they should establish standards for call center activities based on their specific processes.

HFMA October 25, 2012

Tool: Comprehensive Revenue Cycle Flowchart

Brian Vander Mey compiled input from his peers and his own research into a flowchart that documents revenue cycle processes-for providers and payers-from beginning to end.

HFMA October 25, 2012

Revenue Cycle Forum Tools

Real-life spreadsheets, policies, and other resources that you can download and start using—today!

HFMA October 17, 2012
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