Strategic alternative dispute resolution offers providers key to substantial claim recoveries
To be able to effectively handle disputes over healthcare claims, providers must be well-informed about the two basic types of alternative dispute resolution that can help them achieve favorable results: arbitration and mediation.
A best-practice approach to coding, coding quality and compliance improves reimbursement
Healthcare providers need to ensure they are accurately paid for the care provided, and that starts with timely, correct and consistent coding. This critical revenue cycle process codifies the clinical care performed and documented.
Tentative deal to provide pandemic funding won’t replenish the COVID-19 Uninsured Program
A bipartisan Senate bill would pay for additional vaccines and therapeutics but wouldn’t restore funding to a program that reimburses providers for furnishing COVID-19-related services to the uninsured.
News Briefs: Biden administration will apply closer scrutiny to healthcare billing practices
A monthly roundup of top news for healthcare finance professionals.
Cost Effectiveness of Health Report, April 2022
The April 2022 edition of HFMA’s Cost Effectiveness of Health Report includes a preview the May issue of hfm, which focuses on telehealth, a key tool for promoting value-based care CEoH. Another article explores ways to promote health equity in revenue cycle processes, and a case study describes how one health system embarked on an initiative to achieve greater diversity among its revenue cycle staff.
3 ways the patient financial experience can improve health equity
COVID-19 shined a bright light on disparities in access to care and health outcomes that existed in the U.S. healthcare system long before the pandemic, but far from improving the situation, it has exacerbated those disparities. Now, health system revenue cycle departments have an opportunity to be part of the solution.
It’s Patient Experience Week: Check out HFMA resources on improving the patient financial experience
The financial experience is an important yet often underappreciated part of the overall patient experience. During Patient Experience Week, there are many simple ways for a healthcare organization to celebrate its revenue cycle team’s accomplishments.
Claims submitted to HRSA’s COVID-19 funds for uninsured and underinsured patients soon won’t be paid
Funds used to reimburse providers for supplying COVID-19-related services to the uninsured and underinsured will expire soon if Congress doesn’t act.
Providers implement automation and explore staffing options to streamline revenue cycle
In this roundtable, finance leaders discuss tactics they’ve used to implement automated tools and extend their workforce to reduce waste in their revenue cycle processes, aiming to improve patient experience and control costs.
Revenue Cycle Insights: March 2022
Workforce shortages are affecting revenue cycle functions, and you can learn how executives from Spectrum Health and Stanford Health Care are limiting the damage in the lead story of March's Revenue Cycle Insights.