Revenue Cycle

In proposed regulations, CMS seeks to strengthen hospital price transparency requirements

Hospital price transparency regulations are undergoing changes heading into their fourth year as CMS seeks to step up enforcement while making compliance more straightforward. As part of the 2024 proposed rule for hospital outpatient payments, CMS is adding to the requirement for hospitals to maintain a machine-readable file of their charges for services. In addition,…

Nick Hut July 17, 2023

Some of the best from HFMA’s Annual Conference in Nashville

Revisiting your investment strategy with Lisa Schneider of Russell Investments and PayMedix CEO Tom Policelli discusses why payment is so confusing for patients.

Erika Grotto July 17, 2023

Healthcare Blame Game, Live From HFMA’s Annual Conference in Nashville

The Blame Game team takes on HFMA's Annual Conference in Nashville in a discussion about what hospitals get right and wrong.

Erika Grotto July 17, 2023

Medicare outpatient payments to hospitals won’t rise considerably in 2024, according to a proposed rule

Medicare’s newly proposed outpatient payment update for 2024 is unlikely to be greeted with enthusiasm by hospitals. The update for items and services provided in the hospital outpatient or ambulatory surgical center setting would be 2.8%, mirroring the proposed change for inpatient payments. The base update would be 3%, with a statutorily required productivity adjustment…

Nick Hut July 14, 2023

10 Vital Responses to Healthcare Disruption

Disruption is reverberating throughout the healthcare industry, and it’s incumbent on legacy organizations to develop strategic responses for the benefit of their consumers, their communities and themselves. With that overarching challenge becoming ever more pressing, HFMA’s 2023 Spring Thought Leadership Retreat brought together leaders from across the industry May 4-5 in Atlanta to consider approaches…

Nick Hut July 11, 2023

4 opportunities to improve mid-cycle revenue operations

The quality of a hospital’s revenue cycle processes directly impacts the health of its bottom line. In an age of stagnant margins, hospitals should do all they can to improve revenue cycle efficiency. The mid-cycle—that critical phase between patient registration and claims submission — is a great place to start. Numerous challenges arise during this…

HFMA July 10, 2023

Annual Conference: How Mayo Clinic establishes the mindset and processes that foster innovation

Hospitals and health systems must adapt their practices using an innovator’s mindset to keep up with the change sweeping the industry, according to a presentation this week at HFMA’s Annual Conference. “Innovation, at this point in our industry’s landscape, is pretty critical,” said Praveen Mekala, enterprise division chair with Mayo Clinic, referring to the problems…

Nick Hut June 29, 2023

Annual Conference: For hospitals, effective chargemaster management can bolster revenue capture

Amid the changes and challenges buffeting the hospital and health system sector, chargemaster management remains a key step in protecting revenue, according to a presentation this week at HFMA’s Annual Conference. At University of New Mexico Hospital (UNMH), a recent chargemaster initiative began with a thorough review, said Holly Cruz, senior financial analyst with University…

Nick Hut June 28, 2023

Annual Conference: HFMA MAP Award winners for High Performance in Revenue Cycle unveiled

At a time when healthcare executives must balance intensely competing priorities, 15 healthcare organizations have shown they can address revenue and patient engagement challenges successfully and, as a result, have earned a 2023 HFMA MAP Award for High Performance in Revenue Cycle. This year’s group of winners, announced June 25 in Nashville at the HFMA…

Paul Barr, MS, MBA June 25, 2023

International member spotlight: Deepa Gigeesh aspires to reach new career heights

HFMA recently spoke with Deepa Gigeesh, revenue recovery officer at Sheikh Shakhbout Medical City (SSMC), Abu Dhabi, UAE. SSMC is HFMA’s first international Enterprise Solutions member, which allows SSMC’s healthcare finance staff to access HFMA tools, resources and education that align with their career development and business goals. Please describe your current position and job…

HFMA staff reports June 23, 2023
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