Navigating medical necessity denials: Strategies for successful resolution
Just as hospitals, health systems and physician practices are dealing with unprecedented financial and operational challenges, denied claims continue to rise — especially medical necessity denials. The impact on providers and patients is significant. Medical necessity is the term used to describe “healthcare services or supplies needed to diagnose or treat an illness, injury, condition,…
PMMC provides organizations with the tools and the knowledge to maximize their net revenue
Learn how PMMC's revenue cycle software and services improves the financial performance of healthcare providers to have more resources devoted to patient care.
How digital patient engagement solutions can help healthcare organizations improve their existing revenue cycle
This roundtable features various healthcare professionals who breakdown what digital patient engagement solutions are being implemented and how this not only empowers patients, but also helps organizations looking to improve their existing revenue cycle.
Dennis Dahlen: It’s time to deepen trust in the patient financial experience
“Healthcare is a journey. It’s not a single episode of care. Especially in cardiology, where the relationships we develop with patients are lifelong, we want to make sure they trust not just their doctor, but the entire organization.” So believes one of the standout speakers from HFMA’s 2024 Revenue Cycle Conference in San Diego: Larami…
While increasing revenue is a top goal for 2024, improving the patient experience is a close second — specially for large health systems: HFMA poll
In a recently conducted survey, 70% of 92 respondents said increasing revenue is a top priority in 2024 followed by improving the patient experience (60%) and reducing costs (55%). Review other key findings in this research report.
Integrated delivery: A 45-year case study of one IDN’s successful evolution
Over the past 50 years, the integrated delivery network (IDN) model has evolved to become widely accepted among health system leaders as an effective means for controlling costs, improving quality through better coordinated care and achieving financial returns.a Yet an important question confronts any healthcare organization that wants to pursue an IDN strategy today: What…
Healthcare Blame Game: Bloomberg Philanthropies puts $250 million into educating new healthcare workers while Patient Rights Advocate spends on spreading misinformation
Chad Mulvany, vice president of federal policy for the California Hospital Association and former HFMA policy director, discusses Bloomberg Philanthropies $250 million investment in the future healthcare workforce, as well as what will actually move the needle on price transparency.
David Johnson: Fortune telling healthcare’s dismal future
January 1970 was a long time ago. Richard Nixon celebrated the first anniversary of his presidency. The Vietnam War was raging. The Paris Peace Accords, the Arab oil embargo, stagflation, wage and price controls, devaluation of the dollar, the creation of the Environmental Protection Agency and the Occupational Safety and Health Administration, Nixon’s historic trip…
Building skilled nursing relationships to improve hospital length of stay
The timely discharge of patients to skilled nursing facilities (SNFs) remains a significant concern for health system leaders. There have been some signs of improvement: Just over 40% of respondents to Kaufman Hall’s 2023 State of Healthcare Performance Improvement survey indicated that inpatient average length of stay (ALOS) had decreased over the past year. But…
How to Optimize Your Revenue Cycle through In-depth Assessment and Strategic Process Improvements
By adopting a comprehensive approach that includes regular assessment, process optimization, staff education and measurement, healthcare organizations can enhance efficiency, reduce costs and ultimately improve their financial health. Download this report to learn more.