Payer access to EHR data improves cash flow
Sharp Healthcare gives some payers limited access to their members’ EHR data, which reduces the time-consuming cycle of level-of-care authorization denials, appeals, and ultimate approvals.
Address Patient Financial Risk in Pre-Service to Boost Revenue and Earn Loyalty
To improve patient satisfaction and decrease uncompensated care, educate patients on their healthcare expenses, benefit coverage, and payment options.
Colorado Healthcare System Increases Price Transparency for Self-Pay Patients
SCL Health shows self-pay prices in two ways—an average for a specific service and the range of prices charged in the past year. This helps set realistic expectations when prices are above average based on varying factors.
Self-Pay Transparency in Colorado: What the Law Says
Colorado’s Transparency in Direct Pay Health Care Prices Act requires health facilities to publish online the self-pay prices of their 50 most-used DRG codes and the 25 most-used CPT codes.
Your To-Do List When Health Plan Contracts Change
Six steps can help revenue cycle leaders manage health plan changes effectively.
Exemptions to Anthem’s ED Policy
Anthem will not deny an ED claim based on the prudent layperson standard if certain conditions apply.
Ask the Experts: Physician Practice System Implementation
Is there a template for a new physician practice management system implementation plan geared towards denial management and collection modules?
New Best Practices for Reporting Bad Debt
Credit reporting is becoming less effective as a result of new regulations and evolving hospital bad debt programs.
Billing Processes Need Overhaul as Patient Payments Increase
The challenge of increasing patient financial responsibility is compounded by consumers’ confusion with billing documents.
Closing Patient Communication Gaps
While some patients struggle to pay their healthcare bills, it’s also true that plenty of bad debt is the result of disconnects in the billing process and confusion over what patients owe.