HHS says the co-provider requirement for good-faith estimates is being tabled indefinitely
The U.S. Department of Health and Human Services has given hospitals and other healthcare providers a break on enforcement of a looming requirement for co-providers to be included on good-faith estimates (GFEs) furnished to uninsured patients. HHS announced in an updated FAQ that it will continue to exercise “enforcement discretion” instead of potentially penalizing providers starting Jan.…
Utilization Review: 5 Reasons Hospitals Lose Revenue
An effective utilization review program must revolve around the right management and processes as well as communication among teams.
Healthcare News of Note: Trust in local healthcare systems’ handling of the pandemic increased during a 28-month time span
Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: Trust increased in healthcare providers’ handling of the pandemic when compared with the government, working-age adults suffer financial setbacks after admission for traumatic injury, and deaths by stimulants have increased.
CareCredit healthcare credit card provides flexible payment options for both patients and healthcare providers
Read about one company's payment solution that gives patients a way to pay for out-of-pocket healthcare costs while enabling health care organizations to receive payment for services within two business days.
Revenue Cycle Insights newsletter: Medicare outpatient payment bump less than first appears
On the surface, CMS is granting Medicare outpatient care a 3.8% payment increase, but a variety of negative adjustments that will vary by provider are going to cut into the net gain. Senior Editor Nick Hut breaks it all down. Also, Vanderbilt Health is reaping gains from its earlier adoption of automation technology in revenue…
David Johnson: Rewiring healthcare’s smartest professionals (Hint: It’s not physicians)
I won’t keep you in suspense. Healthcare’s smartest professionals are the tens of thousands of individuals who populate its revenue cycle operations. Revenue cycle professionals determine how much payers fork out and how much providers receive for healthcare treatments. They constitute the beating heart of the nation’s transactional healthcare system. Their ingenuity knows no bounds.…
Reeling hospital industry shouldn’t anticipate a turnaround anytime soon
Amid persistent financial and operational turbulence for hospitals, it appears unrealistic to expect significant improvement in the near future.
Pandemic brought increases in the number of patients leaving the ED without being seen
Deferred care appeared to become more widespread in the emergency department amid the COVID-19 pandemic, according to a study.
Revenue Cycle Operations Research Summary Report
HFMA, with sponsorship by Currance, surveyed 110 healthcare CFOs and revenue cycle, finance and accounting executives to understand how satisfied healthcare providers are with their current revenue cycle operations, and what they find most valuable.
No Surprises Act regulations remain a moving target for compliance
Amid all the rules stemming from the No Surprises Act, a looming mandate for providers to send cost estimates to health plans looks like the biggest stress inducer.