Billing and Collections

Medical Account Resolution Best Practices

Recommendations crafted by HFMA's Medical Debt Task Force are intended to improve the medical account resolution process for patients and providers alike. The best practices provide guidance on resolving financial obligations before, during, and after a patient visits a hospital or other healthcare setting.

HFMA January 14, 2014

HFMA Medical Debt Task Force

HFMA partnered with ACA International and gathered a task force of stakeholders to establish best practices for the fair resolution of patients' medical bills. The stakeholders represented include a diverse group of providers, consumer advocates, collections agencies, and credit bureaus.

HFMA January 14, 2014

HFMA Comment Letter: CMS Should Test the Readiness for ICD-10 Implementation

HFMA urges CMS to undertake a comprehensive approach to testing the readiness of the Medicare contractors and state Medicaid agencies for the October 1, 2014, ICD-10 implementation.

HFMA January 10, 2014

Patient Friendly Billing Resources

Patient Friendly Billing Resources Here is an extensive list of patient friendly billing reports, analysis, tools, case studies, and related information.

HFMA April 12, 2013

Providence’s Revamped Billing Statements Led to Quicker Payment

Providence Health System developed a patient billing statement that encourages faster payment.

HFMA December 19, 2012

Early, Transparent Financial Communications

A PATIENT FRIENDLY BILLING® Project Recommended Practice. This statement specifically addresses patients' rights to understand and prepare for their financial obligation at the earliest point possible in the care experience. 

HFMA October 25, 2012

Ask the Experts Answer: Cost-to-Collect Calculations

Q: We are basing staffing decisions on your benchmark of 2% of collections for cost-to-collect. Would you explain how you arrived at this percentage? We would like to obtain the facts and background that went into that research since it will be utilized at our facility for important decisions.

HFMA October 25, 2012

Ask the Experts Answer: Urgent Care Center

Q: We are opening an urgent care center that will be hospital-based. The consulting team that is setting-up the billing suggests that we have two different charge slips and two different prices -- one for self pay and one for insurance patients. I am not comfortable with this recommendation and would like guidance on charging two different prices. 

HFMA October 25, 2012

Ask the Expert Answer: Calculating Cost-to-Collect

We are basing staffing decisions on your benchmark of 2% of collections for cost-to-collect. Would you explain how you arrived at this percentage? We would like to obtain the facts and background that went into that research since it will be utilized at our facility for important decisions.

HFMA October 25, 2012

Ask the Experts Answer: Billing for Urgent Care Center

We are opening an urgent care center that will be hospital-based. This is a new venture for our hospital. The consulting team that is setting-up the billing suggests that we have two different charge slips and two different prices -- one for self pay and one for insurance patients. I am not comfortable with this recommendation and would like guidance on charging two different prices.

HFMA October 25, 2012
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