Are You Prepared for These Three Self-Pay Risks?
Hospitals face risks associated with three major statutes that impact revenue cycle processes: autodialer rules, debt collection, and charity care requirements.
How Penn Medicine’s EHR Conversion Yielded an Integrated Revenue Integrity Department
In addition to measuring metrics at each EHR go-live stage, the budding revenue integrity structure included revenue reconciliation committees at each hospital to review department charge capture daily. Ultimately, the revenue integrity department would support the clinical areas for each of these committees long-term to ensure sustainability.
Award-Winning Healthcare Providers Offer Insights for Improved Revenue Cycle Performance
The 17 winners of HFMA’s 2017 MAP Award for High Performance in Revenue Cycle offer tips on revenue cycle excellence that can benefit other providers.
Avoiding the High Cost of High-Capture Leakage
Adoption of efficient practices, along with the implementation of a charge capture system that suits the needs of a healthcare organization, can bring significant recaptured revenue.
Payment Security and Compliance: A Primer for Healthcare Revenue Cycle Decisionmakers
Compliance with credit card security standards has taken on greater importance for hospitals as with the increased likelihood that patients might use credit cards to cover growing payment obligations imposed by high-deductible health plans.
Ask the Experts: Billing for Non-Physician Staff
How should we bill New York Medicaid when there are providers that are not hospital employees providing services in an emergency department setting?
Critical Access Hospital Makes Transparency a Priority
Henry County Health Center has simplified patient billing and added a patient estimator tool to enhance the patient experience and improve collections.
Moving Toward a Revenue Ecosystem
To maximize results, healthcare finance leaders should establish an integrated view of the organization’s entire revenue ecosystem, aligning across organizational strategy, payer contracting, clinical operations, and revenue cycle drivers.
HFMA/Change Healthcare: Pre-Authorization and Medical Necessity Opportunities
Change Healthcare and HFMA partnered on a research study that analyzed the state of claims denials in the United States. It focused on understanding providers' first-pass claim rates, denials occurring from lack of pre-authorization and medical necessity processes, and pain points that are opportunities for innovation.
Smartphone App Helps Users Identify Nearest EDs
Krislyn M. Boggs and Carlos A. Camargo, Jr. describe how the Massachusetts General Hospital-based Emergency Medicine Network helps people find the nearest emergency department.