Analysis: What healthcare providers need to know about short-term limited-duration health insurance products going into 2020
Healthcare providers need to be aware they will likely encounter an increase in the number of patients who have purchased short-term health insurance, with its limited benefits, that will be available on the healthcare exchange in 2020.
Analysis: CMS proposed rule could provide price data to inform physician referrals
While the proposed health plan price transparency rule will likely be challenged, if it survives those challenges, it will be far more impactful on health spending than the negotiated charge-posting requirement.
Congress is still expected to pass a surprise-bill measure this year
Congress is likely to enact surprise-bill legislation in the waning days of 2019, according to policy advisers.
Getting to the root causes of denials
Root causes for denials should be defined operationally to determine the level of analysis required internally.
Revenue Cycle Strategist November 2019
The November 2019 issue of Revenue Cycle Strategist newsletter features articles on patient experience, coding and denials management.
Taking patient experience beyond clinical care
As patients pay more out-of-pocket healthcare costs, financial services influence patient experience, perceptions and actions.
Administration finalizes requirement for hospitals to post rates paid by health plans
A newly finalized requirement will require hospitals to post rates that are privately negotiated with health plans, as well as rates for a list of 300 “shoppable services.”
6 key opportunities to optimize revenue with strategic pricing
Strata Decision Technology breaks down how providers can set defensible, geographically-sensitive prices that can be made visible to consumers without concern of backlash.
Transparency rule could come this month, White House executive says
A controversial requirement for hospitals to publicly post the rates they negotiate with health plans is expected this month, according to a senior White House official.
Building a coding integrity department
Many healthcare coders are not just coding; they are evaluating the integrity of the codes and abstracted data associated with each patient.