Healthcare Finance Technology

Automation from documentation capture to code: Insights from healthcare finance leaders

Read tips on strengthening return on investment and engagement as well as the role of process automation in navigating the documentation and workforce challenges facing healthcare in this roundtable with hospital leaders.

HFMA March 28, 2023

Healthcare News of Note: Medicare to negotiate reduced prices for 40 drugs by 2028, says study

Medicare drug price negotiation has the potential to benefit Medicare beneficiaries across some of the most common disease states.

Deborah Filipek March 23, 2023

Data capture and coding for social determinants of health are works in progress, per reports

In the effort to bring social determinants of health (SDoH) more under the purview of healthcare providers, one tricky aspect is establishing a data and coding infrastructure. Recent reports highlight this challenge. For example, a survey conducted for the American Health Information Management Association (AHIMA) found that although 78% of 2,637 respondents said their organizations…

Nick Hut March 10, 2023

Healthcare News of Note: New PCORI initiative targets industry’s slowness in adopting results of comparative effectiveness research

Over the past few weeks, I have found these industry news stories that should be of interest to healthcare finance professionals.     1. Goal of PCORI initiative: Reduce the estimated 17-year wait time to adopt new and better treatments Forty-two health systems have signed on to an initiative to translate new research into changes in…

Deborah Filipek March 3, 2023

How R1 RCM’s technology-driven solutions address health system challenges

Seeing challenges in labor shortages, shrinking margins and other complexities? Enter technology-driven solutions for revenue cycle management. Read the details in this peer review spotlight.

HFMA February 27, 2023

AI and the rise of human-machine collaboration in healthcare

Commentators, researchers and academics can’t stop finding applications for ChatGPT.a Two of its recent claims to fame include passing all three medical licensing exams and the final exam for a core MBA class at Wharton.b ChatGPT, short for Chat Generative Pre-Trained Transformer, is a form of conversational artificial intelligence (AI). The concept is not new.…

David W. Johnson February 24, 2023

DOJ withdraws guidance that bolstered antitrust safe harbors for GPOs, cost benchmarking and more

Potentially leading to stricter enforcement of antitrust policy in healthcare, the U.S. Department of Justice has withdrawn guidance that essentially promoted certain arrangements in the industry. The Feb. 3 announcement from DOJ’s Antitrust Division amounts to a cancellation of so-called “safety zones” that were established in three sets of nonbinding guidance issued between 1993 and…

Nick Hut February 20, 2023

How to use analytics and automation to build an intelligent A/R strategy

Health systems seeking to improve their accounts receivable function are turning to machine learning and AI to streamline patient interactions in ways that benefit the organizations and their patients. Read the challenges and benefits of using automation health system executives discuss in this roundtable.

HFMA January 18, 2023

Beyond automation: Fulfilling your New Year’s resolution for a more efficient revenue cycle

Jonathan Wiik, vice president of health insights at FinThrive, discusses how provider organizations continue to struggle with denials in a time when staff is hard to find.

Erika Grotto January 17, 2023

Massive federal spending bill alleviates reimbursement concerns for hospitals, but less so for physicians

Healthcare provider advocates applauded the inclusion of key reimbursement relief measures and other policies in a proposed federal spending bill for FY23, although physician groups expressed concern about the outlook for their constituents. With a divided Congress looking to muster the votes to pass the legislation before a self-imposed deadline of week’s end, the bill includes many…

Nick Hut December 20, 2022
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