Navigating regulatory challenges in hospital revenue cycle: the impact on RCM teams and the path forward
The term “regulatory compliance” is often associated with its cost. However, the foundational purpose of regulations is to protect patients and ensure quality care. Most would agree a healthcare system without regulations would be catastrophic. But provider organizations are now burdened with managing compliance under increasingly complex requirements. If they fall short, they can expect…
Bridging the Payer-Provider Divide
No one wins when there is animosity between health plans and healthcare providers, least of all patients. They often must wait months to find out whether care will be covered and what their out-of-pocket cost will be as payers and providers negotiate the details.
The invisible costs of cancer treatment
Dr. Kamal Golla is back on the podcast this week discussing the financial considerations for patients and their care team after a cancer diagnosis.
Patient Financial Communications Adopter Recognition Program
Show that you've implemented best practices for patient financial communications. Let HFMA recognize your organization as a Patient Financial Communications Adopter.
5 revenue cycle management myths dispelled
The traditional healthcare revenue cycle was designed to evolve around payer reimbursement. Processes and workflows were pretty much set in stone. Step 1: register the patient; step 2: verify insurance and eligibility; step 3: capture the charges; step 4: code the claim, and so on. The lack of automation and interoperability solutions, especially electronic health…
Five Fears Healthcare Executives Face Today
Download this white paper to learn how to tackle revenue cycle management (RCM) vendor challenges.
How PFC USA’s solutions can help boost revenue and patient satisfaction
Learn how to address challenges in the healthcare industry such as rising costs and strict regulations with advice on managing regulatory compliance and enhanced patient engagement, among other ways to lead organizations to success.
Offering a health and wellness credit card provides a patient-friendly payment option
Learn about a patient financing solution that helps reduce accounts receivable and provides financing options so patients can seek out the care they want or need.
Research Summary: 2024 Revenue Cycle Management Survey
HFMA, with sponsorship from Guidehouse, surveyed 134 healthcare executives to understand their revenue cycle challenges and opportunities. The survey found that payer challenges, prior authorization, and workforce are among the top three areas of stress for revenue cycle departments. To learn more, download the key findings from the survey.
How to Maximize your Medigap Market Share
A refreshed look at Medigap revenue, the opportunity that exists to increase market share, and the financial impact it has on healthcare organizations. This white paper presents three important considerations for healthcare finance leaders as they look to expand revenue streams and access a growing population of insured Medigap patients.