Healthcare providers explore payer direct access to EHRs, but most are still awaiting the benefits
This roundtable brought together a number of healthcare industry leaders to discuss challenges and solutions for effectively sharing medical record data with payers. Roundtable participants also say they hope that offering insurers direct access to clinical information can potentially eliminate some of providers' administrative burden of constantly responding to records requests, but that is yet to come to fruition.
Navigating regulatory challenges in hospital revenue cycle: the impact on RCM teams and the path forward
The term “regulatory compliance” is often associated with its cost. However, the foundational purpose of regulations is to protect patients and ensure quality care. Most would agree a healthcare system without regulations would be catastrophic. But provider organizations are now burdened with managing compliance under increasingly complex requirements. If they fall short, they can expect…
5 revenue cycle management myths dispelled
The traditional healthcare revenue cycle was designed to evolve around payer reimbursement. Processes and workflows were pretty much set in stone. Step 1: register the patient; step 2: verify insurance and eligibility; step 3: capture the charges; step 4: code the claim, and so on. The lack of automation and interoperability solutions, especially electronic health…
Winning strategies for creating a people-centric technology culture
When company practices treat workers as people and not just as resources, research shows that employees are 3.8 times more likely to be high-performing. In this roundtable, a group of healthcare finance professionals discuss this concept, also known as a "People-Centric Maturity Model," specifically why it is important in healthcare and what metrics an organization should use to measure a successful people-centric strategy.
How PFC USA’s solutions can help boost revenue and patient satisfaction
Learn how to address challenges in the healthcare industry such as rising costs and strict regulations with advice on managing regulatory compliance and enhanced patient engagement, among other ways to lead organizations to success.
AI-guided clinical alignment can help avoid AI-driven denials
Read five critical components for a strategic approach to achieving AI-guided clinical alignment between payers and providers.
Offering a health and wellness credit card provides a patient-friendly payment option
Learn about a patient financing solution that helps reduce accounts receivable and provides financing options so patients can seek out the care they want or need.
Create more accurate cost reports faster with BESLER’s Easy Work Papers
A cost report is a critical reimbursement tool, but as much as 80% of it is repetitive. Check out this solution that is designed to help hospitals automatically complete the areas that repeat, so their staff has more time to focus on areas that have a real impact on the hospital’s revenue.
Research Conducted by HFMA
This collection of partnered research covers a broad range of healthcare finance topics. Some of which are: finance and business strategy, leadership, revenue cycle management, technology and operations.
Research Summary: 2024 Revenue Cycle Management Survey
HFMA, with sponsorship from Guidehouse, surveyed 134 healthcare executives to understand their revenue cycle challenges and opportunities. The survey found that payer challenges, prior authorization, and workforce are among the top three areas of stress for revenue cycle departments. To learn more, download the key findings from the survey.