The importance of eligibility and enrollment services on the heels of the Great Resignation
Given the millions of people who have left their jobs as part of the Great Resignation or have found themselves unemployed for other reasons, your health system’s ability to improve its eligibility and enrollment processes in the revenue cycle is essential.
Healthcare News of Note: Only 66 hospitals earn top marks for social responsibility
Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: Fewer than 2% of reviewed U.S. hospitals earned Lown’s ‘most socially responsible’ distinction, gun violence is a major health problem in the United States, and ACA health insurers denied 18% of all in-network claims in 2020.
4 proven strategies for optimizing revenue cycle performance
Hospitals revenue cycles can all too often experience denied claims and delayed payment due to outdated manual processes and workflow inefficiencies. Hospital revenue cycle leaders can address these problems with a sharper strategic focus on submitting clean claims, managing denials, applying analytics and outsourcing.
Revenue Cycle Insights June 2022
Hospital pricing and surprise billing remain hot topics, with Senior Editor Nick Hut outlining some recent reports on the subject. And Jonathan Blum, of CMS, describes how the industry is reacting to the agency’s new regulations of price disclosure and surprise billing, in a podcast with Joe Fifer, CEO of HFMA.
Texas-based study raises questions about impact of using additional criteria in No Surprises Act arbitration cases
Study results indicate that ongoing litigation over the independent dispute resolution process established by the No Surprises Act may not have a major impact on outcomes.
Healthcare News of Note: InstaMed report says 87% of consumers were surprised by a medical bill in 2021
Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: Surprise medical bills were prevalent in 2021, long-haul COVID in the United States is in the news, and a report identifies America's most segregated hospital markets.
Insurer groups issue report showing the No Surprises Act’s early impact on patient billing
More than 2 million potential surprise medical bills were prevented during the first two months of the No Surprises Act, according to the health insurance lobby.
Leveraging artificial intelligence to advance organizational strategy
When bringing artificial intelligence into their business models, health systems have the opportunity to improve revenue cycle management by maximizing efficiencies. With the potential to improve workflow and consolidate resources, automation and machine learning require organizations to examine their infrastructure, from staffing to datasets. Investing in automated processes to reduce variation and empower staff to…
No Surprises Act
As a result of the 2021 Consolidated Appropriations Act, several No Surprise Billing Act regulations will go into effect on Jan. 1, 2022 for providers, facilities and air ambulance services. These requirements include prohibitions on balance billing for certain items and services, consumer notification and consent requirements for insured patients, cost sharing rules and disclosures, and uninsured/self-pay good faith estimate requirements for scheduled or shoppable items and services.
Big delays could be in store for early No Surprises Act arbitration cases
The portal for payment arbitration cases taking place under the No Surprises Act is open for business but could be facing a backlog of cases.