Integrated Revenue Cycle: Coordination Between Insurers and Providers to Ensure Revenue Accuracy
Working together, insurers and providers can realize mutual benefits of verifying the accuracy of information.
Success in Proactive Denials Management and Prevention
Adopting a few key best practices can help healthcare organizations reduce denials.
4 Steps for Success in a Changing Payment Landscape
The experiences of oncology practices participating in CMMI’s Oncology Care Model offer insight on how physician practices can best adapt their revenue cycle for value-based payment models.
Human Trafficking: Hidden Problem, Hidden Costs
New ICD-10 codes allow for clinicians to document treatment of human trafficking victims, but legal considerations should be taken before doing so.
Preparing for Rising Patient Financial Responsibility
Average patient out-of-pocket healthcare costs increased 11 percent in 2017. Learn the strategies revenue cycle leaders can implement to address this growing concern.
Ask the Experts: Analyzing Bad Debt
What are best practices related to aging accounts receivable buckets and determination of reserve rate-based time frames?
Justifying Expansion of CDI Programs: A Case Study
On hospital’s experience in broadening the focus of its clinical document improvement (CDI) program from just Medicare to all payers shows how healthcare providers can benefit financially from such a change.
Safety Net System Achieves $130M in Fiscal Improvements in 4 Years
Denials management and “keepage” strategies—keeping services within the health system—helped Maricopa Integrated Health Services improve its margins even in the face of a challenging payer mix.
The Experience Economy Is Coming to Health Care
HFMA President and CEO Joe Fifer discusses the implications of the experience economy for healthcare finance leaders.
Ask the Experts: Presumptive Eligibility
Is a free service provided on the basis of presumptive eligibility allowable for charity on Medicare’s cost report worksheet S-10?