Revenue Cycle

Beyond the Mandate: Better Strategies for Price Transparency

Some healthcare organizations have taken the spirit of new price transparency regulations a step further by striving to inform patients in advance about their true out-of-pocket costs for care.

Laura Ramos Hegwer February 25, 2019

National Hospital Survey Shares Insight into CMS’s Price Transparency Requirement

Hospitals expressed uncertainty about the usefulness of information supplied in response to CMS’s IPPS transparency requirements, but also recognize that the rule amplifies healthcare industry efforts to provide meaningful price estimates for healthcare services. 

Jamie Cleverley February 21, 2019

Improving Patient Acquisition and Retention With Digital Care Coordination

By improving the patient experience from the first communication with a provider to post-discharge care, a healthcare organization can help attract and retain more patients.

Jason Kressel February 21, 2019

Ask the Experts: Behavioral Health Billing

We want to offer an intensive outpatient program (IOP) that provides group psychotherapy to patients who require a higher intensity of treatment than our outpatient setting provides. We need a thorough understanding of the billing process for the state of

HFMA February 20, 2019

Repeal of the Individual Mandate Means More Uncompensated Care

The individual mandate has driven an increase in the number of insured patients, and without it, hospitals are likely to face more uninsured patients and more patients with high co-pays and deductibles.

Ed Avis February 14, 2019

Azar Pledges ‘Ending’ Surprise Medical Bills

Feb. 4—The lead federal healthcare official pledged Monday to stop surprise medical bills—one of the few healthcare issues garnering bipartisan support in Congress.

Rich Daly February 5, 2019

Small Percentage of Uninsured Patients Generate Most of Hospitals’ Self-Pay Payments

Focusing on accounts that are most likely to be paid in full and identifying billable insurance can help hospitals tackle self-pay challenges.

HFMA February 4, 2019

Bridging the Gap: The Role of the Physician Advisor in Revenue Cycle Operations

Hospitals are deploying physician advisors to bolster the revenue cycle in a variety of areas, including clinical documentation, denials prevention, utilization review, and value analysis.

Nick Hut February 4, 2019

Hospitals Look to Move Beyond Charge-Listing Requirement

Feb. 1—Publicity has surged around the new federal requirement for hospitals to post charges online. But some hospitals have managed to exceed that mandate in ways that provide more effective price transparency.

Rich Daly February 4, 2019

Uninsured Rate Highest Since 2014: Survey

Jan. 23—The uninsured rate rose in fourth quarter of 2018 to its highest level since the first year of the coverage expansion provided by the Affordable Care Act (ACA), according to a Gallup survey.

Rich Daly January 24, 2019
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