Revenue Cycle Management

Shawn Stack: The value of revisiting policies and processes for financial assistance

The charity care processes adopted by healthcare providers have attracted criticism in media stories focusing on the high cost of care. On a recent episode of HFMA’s “Voices in Healthcare Finance” podcast, HFMA Policy Director Shawn Stack discussed the value of revisiting financial assistance policies and processes. Below is an excerpt from the interview. Erika…

Erika Grotto April 30, 2024

Reimagining charity care: How Monument Health puts patients first with an innovative financial assistance program

Deepak Manmohan Goyal, MD, MBBS, MBA, executive director for revenue cycle and supply chain at Monument Health, remembers the case of a 40-year-old patient with late-stage cancer who sought care at the Rapid City, S.D., health system a few years ago before succumbing to her disease. An earlier and unrelated care episode ideally would have…

Nick Hut April 29, 2024

Healthcare Blame Game: New York Times medical debt piece dubbed ‘laziest story of the year,’ plus revisiting charity care policies

Brad examines a New York Times article by investigative reporter Sarah Kliff about a recent study of patients whose debt was eliminated by RIP Medical Debt. Researchers say the results surprised them.

Erika Grotto April 29, 2024

It’s time to revisit your charity care policy

The cover story in the May issue of hfm focuses on a South Dakota health system that developed a new process to identify charity care patients. In this episode, HFMA Policy Director Shawn Stack discusses why good financial assistance policies and process are essential to patient care.

Erika Grotto April 22, 2024

Hospital Prices Machine Readable File: Build vs Buy Guide

Download this guide to assist you as you run the numbers and study the facts to decide whether or not to build your own MRF(s).

HFMA April 16, 2024

Battle of the Bots: As payers use AI to drive denials higher, providers fight back

Two fighters face each other in the ring, circling together, assuming there will be a single victor.   One, representing the U.S. health insurance industry, has made huge investments in aggressive technology over the past several years to automate claim processing and reviews, making it hard for the other fighter — representing the nation’s healthcare providers…

Jeni Williams March 28, 2024

Navigating healthcare’s cyber crisis: HFMA’s lifeline through the Change Healthcare cyberattack

Regularly scheduled national member calls by HFMA’s Change Healthcare Business Continuity Workgroup and frequent news updates about the continuing impact of the cyberattack on hospitals and health system by senior editor Nick Hut became a lifeline for many HFMA members through mid-March. Regular news updates Hut kept members apprised of developments starting on Feb. 25…

Deborah Filipek March 19, 2024

Navigating medical necessity denials: Strategies for successful resolution

Just as hospitals, health systems and physician practices are dealing with unprecedented financial and operational challenges, denied claims continue to rise — especially medical necessity denials. The impact on providers and patients is significant. Medical necessity is the term used to describe “healthcare services or supplies needed to diagnose or treat an illness, injury, condition,…

HFMA March 8, 2024

How digital patient engagement solutions can help healthcare organizations improve their existing revenue cycle

This roundtable features various healthcare professionals who breakdown what digital patient engagement solutions are being implemented and how this not only empowers patients, but also helps organizations looking to improve their existing revenue cycle.

HFMA February 29, 2024

While increasing revenue is a top goal for 2024, improving the patient experience is a close second — specially for large health systems: HFMA poll

In a recently conducted survey, 70% of 92 respondents said increasing revenue is a top priority in 2024 followed by improving the patient experience (60%) and reducing costs (55%). Review other key findings in this research report.

HFMA February 29, 2024
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