Patient Financial Communications

New surprise billing regulations: Assessing a patient’s network status will be a key challenge

With new surprise billing regulations in place, providers should seek to implement efficient processes for gauging whether a patient is in-network.

Nick Hut January 4, 2022

Studies find glaring issues with federal price transparency requirements

The first year of federal price transparency regulations for hospitals hasn’t had high rates of compliance, nor has it consistently led to actionable information for consumers, according to two new studies.

Nick Hut December 21, 2021

New surprise billing regulations: How providers should be preparing to fulfill the pending requirement about good-faith estimates

Providers have had a mere three months to implement the processes needed to comply with a new requirement to provide uninsured patients with good-faith estimates in advance of services.

Nick Hut December 16, 2021

Healthcare News of Note: Youth mental health-related emergency department visits are on the rise as a result of the pandemic

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: Mental health-related ED visits increase for children and teens, hospital volumes are nearly at 2019 levels, and TransUnion Healthcare sees a 55% increase in financial assistance requests in a 12-month period.

Deborah Filipek December 3, 2021

CMS makes templates available to help with aspects of the new surprise billing regulations

CMS has published templates and resources that can guide healthcare providers in implementing some of the surprise-billing requirements that take effect in January.

Nick Hut December 2, 2021

Exploring opportunities to improve provider-payer data exchange

Revenue cycle leaders share strategies and the benefits for effective data exchange between providers and payers, as well as the challenges in this executive roundtable.

HFMA November 30, 2021

Providers must furnish ‘good-faith’ price estimates to self-pay patients starting next year

A newly issued federal rule on surprise billing includes regulations designed to improve price transparency for self-pay patients.

Nick Hut October 11, 2021

Focus on thought leadership and better practices: A testament to HFMA’s vision and purpose

From its very inception, HFMA has embraced the idea of thought leadership and professional practice. Major milestones have included the Principles and Practices Board, The Patient Friendly Billing Project, The Value Project and the recent focus on consumerism.

Eric C. Reese, PhD September 30, 2021

Cost Effectiveness of Health Report, September 2021

HFMA’s Cost Effectiveness of Health Report, sponsored by Kaufman Hall, is a monthly e-newsletter that will explore ways to ensure healthcare delivery in the United States is not only financially sustainable but also cost effective for all of its stakeholders — including health systems, physicians, health plans and patients. In this inaugural issue of the report, healthcare futurist Jeff Goldsmith shares his perspectives on the need for a focus on improving cost effectiveness of health as a societal imperative.

HFMA September 27, 2021

Recipients of COVID-19 vaccine boosters won’t have to pay anything out of pocket, CMS confirms

Medicare beneficiaries will owe nothing out of pocket for receiving an authorized booster dose, and the same applies to almost all Medicaid beneficiaries and most commercial health plan members.

Nick Hut September 26, 2021
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