HFMA

Staff engaged in revenue integrity and charge audits should carefully monitor five key categories that are most common reasons for missing charges.

HFMA and Navigant surveyed 125 hospital and health system CFOs and revenue cycle executives to learn about next-generation revenue cycle management trends. Erick McKesson, director for Navigant, summarizes the findings in this video.

This article shares how Premier Inc. helped Adventist Health System successfully navigate bundled payment initiatives by offering a dynamic collaborative led by seasoned experts and user-friendly analytics that enable evidence-based decisions.

Documentation of chronic conditions is increasingly important as hospitals move toward value-based payment models. 

Documentation of chronic conditions is increasingly important as hospitals move toward value-based payment models. 

Quality metrics are an essential consideration in shared savings or shared risk contracts. Information about these metrics typically is located in an appendix, addendum, or exhibit. The provider organization should be familiar with and understand the specific measures. For each

The Executive Experience session at HFMA’s ANI 2017 brought together leaders from finance, clinical medicine, and health plans to explore ways to partner in value-based care initiatives.

Break even Analysis (BE) Technique for calculating the volume required for a specific service where expenses equal revenue generated. Charges (Gross Charges) Billed amount

Break even Analysis (BE) Technique for calculating the volume required for a specific service where expenses equal revenue generated. Charges (Gross Charges) Billed amount

As organizations delve into value-based arrangements, they are modifying revenue cycle operations to accommodate this new type of payment, which can be challenging. In this roundtable, several financial leaders discuss how they are readying their revenue cycles for value-based payment while continuing to support fee-for-service.