Revenue Cycle

As providers seek resolution of continuing Change Healthcare issues, UnitedHealth Group reports strong financials

The aftermath of the Change Healthcare cyberattack affected the second-quarter financials of parent company UnitedHealth Group (UHG), but not to the point of hindering the company’s continued “diversified and durable growth,” CEO Andrew Witty said during a recent investor call. Q2 revenues increased by 6% year-over-year, while profits dropped by 5.5% amid costs stemming from…

Nick Hut July 26, 2024

How healthcare providers can streamline A/R through partnerships  

The efficient management of accounts receivable (A/R) is essential for maintaining the fiscal health and operational effectiveness of any healthcare organization. Finance leaders are increasingly recognizing the benefits of leveraging strategic A/R partnerships to improve revenue cycle operations, decrease costs and boost liquidity. It is imperative, however, that they take a systematic approach to understand…

, July 26, 2024

CMS looks to fortify primary care with proposed new codes for advanced care management

With newly proposed regulations, CMS aims to establish coding and payment for services that promote longitudinal relationships between clinicians and patients in primary care. The provisions, part of Medicare’s 2025 proposed rule for physician payments, incorporate new HCPCS G-codes for advanced primary care management (APCM). Three bundles of APCM services would be billable as codes…

Nick Hut July 24, 2024

Healthcare Blame Game, Live from Las Vegas!

Deepak Manmohan Goyal, MD, MBBS, MBA, joins Brad and Erika at HFMA Annual on June 27, 2024, to discuss his work as executive director for revenue cycle and supply chain at Monument Health in Rapid City, S.D. and the financial assistance program that has increased the system’s charity care by $7.8 million in its first year.

Erika Grotto July 22, 2024

The surest bets from HFMA’s Annual Conference in Las Vegas

Laxmi Patel from Savista discusses the potential for AI, and Kevin Hidenfelter from Millenia shares insights about generational payment preferences in interviews conducted live at HFMA's Annual Conference in Las Vegas.

Erika Grotto July 22, 2024

Medicare’s proposed 2025 rule for physician payments would add to the financial strain facing practices

Medicare’s proposed update to physician payments for 2025 left advocates saying practices will have an increasingly difficult time making ends meet. CMS’s newly proposed rule states that payments are set to be reduced by 2.8% from 2024, based on the change to the conversion factor. The agency explained that it is obligated to implement the…

Nick Hut July 18, 2024

Fortifying defenses: essential cybersecurity strategies for revenue cycle management

Healthcare leaders understand that the quality of their organization’s revenue cycle is directly reflected in its bottom line. However, it is also reflected in quality outcomes and patient satisfaction scores. Inefficiencies in eligibility, coverage, prior authorization and other revenue cycle processes can lead to delays in care and surprise patient bills, in addition to poor…

HFMA July 8, 2024

Annual Conference Day 2: Keynote speaker Suneel Gupta expounds on the importance of recharging

Rest and breaks from work should be viewed not as a reward, but as a resource that supports performance, Suneel Gupta, wellness CEO, best-selling author and visiting scholar with Harvard Medical School, told HFMA Annual Conference attendees during Tuesday’s keynote presentation in Las Vegas. “When we look at the science behind human performance, what we…

Paul Barr, MS, MBA June 26, 2024

Proposed rule to halt credit-reporting of medical debt would have big ramifications for hospitals and other providers

A proposed rule from the Consumer Financial Protection Bureau (CFPB) would curtail the inclusion of medical debt in credit evaluations, potentially shaking up healthcare billing and collections processes. The CFPB framed part of its rationale for the rule in the context of privacy, noting Congress previously limited the sharing of a patient’s medical information in…

Nick Hut June 21, 2024

Health system CEO tells Congress proposed 340B changes would be harmful to organizations like his

A health system executive visited Capitol Hill recently to provide the hospital perspective on the 340B Drug Pricing Program — a viewpoint that increasingly is coming under fire among policymakers. Matthew Perry, president and CEO of Genesis HealthCare System in Zanesville, Ohio, appeared at a House subcommittee hearing June 4 to give insight on why…

Nick Hut June 10, 2024
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