Billing and Collections

It is my understanding that payments and adjustments must be allocated evenly/individually based on the insurance payment itself. Can you share any documentation that states how payments are to be posted to charges on a compliance level?

The pillars of strong revenue cycle operations are creating meaningful work, developing knowledge, removing obstacles, and advancing analytical capabilities. Revenue cycle leaders can achieve these goals by integrating payer and claims data and applying algorithms to optimize staff efforts.

Is it legal to charge an inpatient for outpatient services provided by another facility?

Scoring and segmenting patients according to their propensity to pay, combined with using an automated dialer, can significantly improve the productivity of patient account teams. 

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

A Dallas-based health system increased POS collection by incorporating more up-front discussions on patients’ out-of-pocket costs and offering more payment options.

By using a unified merchant services approach, healthcare organizations can give patients the ability to pay how they want, where they want, and when they want—opening opportunities to optimize revenue streams and cash flow in the process.

Patient payments have increased overall, but the actual dollar value of most individual transactions decreased by 3 percent, potentially indicating that patients are finding it difficult to come up with all the money owed at point of service.

The 17 winners of HFMA’s 2017 MAP Award for High Performance in Revenue Cycle offer tips on revenue cycle excellence that can benefit other providers.

Compliance with credit card security standards has taken on greater importance for hospitals as with the increased likelihood that patients might use credit cards to cover growing payment obligations imposed by high-deductible health plans.