PMMC’s Contract PRO helps hospitals see an average 10 to 1 ROI
When the time comes to renegotiate payer contracts, one company’s contract management system “provides managed care leaders with the ability to model all commercial payer contract terms to quickly understand the impact on net revenue.”
Hospitals can recover all eligible Medicare bad debts by automating the Medicare bad debt review process
One company addresses the challenges of complex rules regulating Medicare bad debt processes and reporting, which makes payment recovery for hospitals difficult.
How Mercyhealth applied automation to fine-tune revenue cycle management
Mercyhealth, a health system based in Rockford, Illinois, was prompted by the COVID-19 pandemic to transform its revenue management processes and pivot to an automated approach that would enable leadership to track effectiveness of staff working at home.
Navigating the changes to revenue and billing practices in the No Surprises Act
In this roundtable, revenue cycle leaders discuss the anticipated challenges and strategies for approaching these challenges arising from the No Surprises Act, which went into effect Jan. 1, 2022.
The shift toward integrated pharmacy services: driving long-term success
One driving factor for health systems and hospitals shift to in-house integration pharmacy services is average turnaround time. For an outsourced specialty pharmacy, turnaround is 10 to 14 days, whereas an in-house specialty pharmacy can reduce that time to just 2.1 days.
Bruce Haupt: How the revenue cycle can help patients make healthy choices
The revenue cycle should be designed to give patients choices that help make healthcare more affordable for them, says Bruce Haupt, president and CEO of ClearBalance Healthcare. By clearly communicating those choices, organizations can promote improved health by encouraging patients to seek care they might otherwise have deferred.
How four health systems are using revenue cycle management robotics
Health system executives say that they were already using automation before the pandemic, and the pandemic led them to speed up the adoption process.
Hospital financial metrics took another downturn in July, new report finds
The negative financial performance in July offset moderate gains during the previous few months, according to Kaufman Hall’s monthly report.
Healthcare News of Note: Cancer is now the top driver of large employers’ healthcare costs
Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: The No. 1 driver of healthcare costs for large employers is cancer, the gender pay gap for physicians has gotten larger, and NRC Health names the top facilities for consumer loyalty and patient experience.
Prioritization helps drive success in healthcare
A survey found that the most successful healthcare organizations are those that embrace consumerism and proactively seek ways to better meet patient needs.