Revenue Cycle

Final rule appears to give a boost to providers in No Surprises Act arbitration cases

A new final rule codifies updated criteria for deciding arbitration cases under the No Surprises Act, with providers potentially coming out ahead relative to last year’s interim final rule.

Nick Hut August 22, 2022

The importance of eligibility and enrollment services on the heels of the Great Resignation

Given the millions of people who have left their jobs as part of the Great Resignation or have found themselves unemployed for other reasons, your health system’s ability to improve its eligibility and enrollment processes in the revenue cycle is essential.

HFMA August 5, 2022

Final rule for Medicare inpatient payments brings a big rate increase but falls short of what hospitals sought

The final rule for Medicare inpatient payments to acute care hospitals calls for a 4.3% increase, up by more than a percentage point from the proposed rule.

Nick Hut August 3, 2022

As revenue cycle challenges accumulate, a new survey suggests hospitals are taking a closer look at automation

For hospitals and health systems, survey results show that the ongoing labor crunch in revenue cycle operations has provided an impetus to expand process automation.

Nick Hut July 29, 2022

New rule sets forth proposed Medicare payment policies for rural emergency hospitals

For hospitals that choose to begin operating under the new rural emergency hospital designation in 2023, Medicare will pay for any service that would be covered as a hospital outpatient department service.

Nick Hut July 21, 2022

Healthcare News of Note: Only 66 hospitals earn top marks for social responsibility

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: Fewer than 2% of reviewed U.S. hospitals earned Lown’s ‘most socially responsible’ distinction, gun violence is a major health problem in the United States, and ACA health insurers denied 18% of all in-network claims in 2020.

Deborah Filipek July 14, 2022

Even as costs surge, Medicare physician payments are scheduled to decrease in 2023

Medicare physician payments would decrease by more than 4% in 2023, according to a proposed rule.

Nick Hut July 11, 2022

4 proven strategies for optimizing revenue cycle performance

Hospitals revenue cycles can all too often experience denied claims and delayed payment due to outdated manual processes and workflow inefficiencies. Hospital revenue cycle leaders can address these problems with a sharper strategic focus on submitting clean claims, managing denials, applying analytics and outsourcing.

HFMA July 8, 2022

HFMA member is thankful for the Association’s impact on her life

Candi Powers, the chief revenue cycle officer at Mon Health System, describes how HFMA membership changed the trajectory of her life.

HFMA July 5, 2022

Healthcare News of Note: Telemedicine use for cancer care should be more equitable

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: There’s a need to address inequities in telemedicine use for cancer care, almost 25% of physicians report mistreatment, and most Medicare Advantage enrollees are satisfied with their plan.

Deborah Filipek June 30, 2022
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