Federal judge rules for providers in a case about a key component of the new surprise billing regulations
A federal judge found in favor of the Texas Medical Association in a case about the arbitration process that is being implemented as part of the No Surprises Act.
Large analysis of hospital websites finds little compliance with price transparency regulations
Fewer than 15% of hospitals are fully compliant with federal price transparency regulations, according to an analysis.
Optimizing the revenue cycle by streamlining and automating payment collections
Nine healthcare finance professionals dive into strategies to help entities evolve to meet challenges faced by providers and payers in finding qualified employees in today’s workforce.
Revenue Cycle Insights: January 2022
January's issue of Revenue Cycle Insights includes a lot on what's happening with the new surprise billing regulations.
HHS’s Office of Inspector General announces audit of providers’ COVID-19 billing practices
OIG has announced an audit of Provider Relief Fund recipients to ensure they did not balance-bill presumptive or actual COVID-19 patients.
HFMA’s new Premium Facilitated Learning courses combine self-directed study with facilitator feedback and time for peer problem solving
Learn more about HFMA’s Premium Facilitated Learning — a new line of courses — that combine self-directed study with expert facilitation in this Q&A with HFMA’s Sue Spear, director of Digital Learning and Todd Nelson, director of Partner Relationships.
No Surprises Act inspires short-term and long-term operational areas of focus
The rush may be over, but the race has just begun. After sprinting to implement the requirements of the No Surprises Act by the Jan. 1, 2022, deadline, providers must now shift attention to refining their processes for what lies ahead. Assuming familiarity with the law’s key requirements, providers and facilities are focused on the…
New surprise billing regulations: Assessing a patient’s network status will be a key challenge
With new surprise billing regulations in place, providers should seek to implement efficient processes for gauging whether a patient is in-network.
New surprise billing regulations: How providers should be preparing to fulfill the pending requirement about good-faith estimates
Providers have had a mere three months to implement the processes needed to comply with a new requirement to provide uninsured patients with good-faith estimates in advance of services.
Hospitals, physicians file lawsuit over the arbitration process in the new surprise billing regulations
Leading provider associations have asked a federal court to halt the incorporation of criteria that appear to favor insurers over providers in an arbitration process to determine out-of-network payment amounts.