Harnessing automation in patient access for revenue optimization
Patient access is often treated like a stand-alone process instead of a vital part of the revenue cycle puzzle. The truth is that errors during this critical stage of the revenue cycle are often the cause of claim errors, delayed care and denials. In addition, as the first step of a patient encounter, the patient…
A key election question: What will happen to the enhanced Affordable Care Act subsidies?
Earl Pomeroy knows from experience that the politics surrounding the Affordable Care Act (ACA) are dicey. As a Democratic member of the House Ways and Means Committee, Pomeroy helped pass the ACA during his ninth term representing North Dakota. After that, “I lost my job,” he recalled. Since his time in Congress ended with his…
Revenue cycle management: The foundation of healthcare finances
Revenue cycle management in healthcare is the process of tracking revenue from patients, including patient registration, claim submission, reimbursement, and communication with insurance companies, and is essential for providing a positive patient experience.
FAQs about Patient Financial Communications
When is it OK to have financial discussions with patients? A reasonable attempt should be made to have the discussion as early as possible, before a financial obligation is incurred (i.e., before care is provided). Timely discussions
From Strategy to Operations
This white paper explores the pivotal role of outpatient and ancillary services in addressing these challenges and outlines a strategic revenue approach to change ancillary services from a cost center to a profit center.
Revenue cycle analytics and how providers can help create best practices for the industry
Erin Weber of CAQH discusses how providers can participate in the work of setting best practice guidelines, and Lori Zindl of OS Inc. and Rachel Dallman of Phelps Memorial Health Center talk about opportunities to learn from analytics.
Report: Payer requests for information are slowing reimbursement
Payers are increasingly rejecting claims through requests for information (RFI) that in total serve no purpose other than to delay reimbursement, according to “Death by a thousand requests,” a report from consulting firm Kodiak Solutions. RFI claim denial rates as a percentage of total billed charges climbed to 3.82% in 2024 through May, up from…
Unlock Financial Stability and Growth: The Essential Role of Non-Recourse Patient Financing in Healthcare
Download this white paper to learn how your healthcare organization can utilize non-recourse patient financing as a powerful alternative to traditional collection methods, offering benefits like predictable revenue, reduced bad debt, and improved cash flow.
Navigating the rising tide of denials
Managing the healthcare revenue cycle is more challenging — and more critical — than ever. Amid sluggish margins, ongoing staffing challenges and rising costs, providers feel unprecedented pressure to optimize their revenue cycles. Addressing the ever-increasing issue of denials is a great place to begin. The latest data on denials and proven strategies to reduce…
The Revenue Cycle Playbook
Providers, health plans, and health IT vendors can leverage new technologies to improve revenue cycle and claims management across the payment ecosystem by building customized experiences and workflows specific to their unique business needs. Download the white paper to learn more.