Revenue Cycle Insights: January 2022
January's issue of Revenue Cycle Insights includes a lot on what's happening with the new surprise billing regulations.
HHS’s Office of Inspector General announces audit of providers’ COVID-19 billing practices
OIG has announced an audit of Provider Relief Fund recipients to ensure they did not balance-bill presumptive or actual COVID-19 patients.
HFMA’s new Premium Facilitated Learning courses combine self-directed study with facilitator feedback and time for peer problem solving
Learn more about HFMA’s Premium Facilitated Learning — a new line of courses — that combine self-directed study with expert facilitation in this Q&A with HFMA’s Sue Spear, director of Digital Learning and Todd Nelson, director of Partner Relationships.
No Surprises Act inspires short-term and long-term operational areas of focus
The rush may be over, but the race has just begun. After sprinting to implement the requirements of the No Surprises Act by the Jan. 1, 2022, deadline, providers must now shift attention to refining their processes for what lies ahead. Assuming familiarity with the law’s key requirements, providers and facilities are focused on the…
New surprise billing regulations: Assessing a patient’s network status will be a key challenge
With new surprise billing regulations in place, providers should seek to implement efficient processes for gauging whether a patient is in-network.
New surprise billing regulations: How providers should be preparing to fulfill the pending requirement about good-faith estimates
Providers have had a mere three months to implement the processes needed to comply with a new requirement to provide uninsured patients with good-faith estimates in advance of services.
Hospitals, physicians file lawsuit over the arbitration process in the new surprise billing regulations
Leading provider associations have asked a federal court to halt the incorporation of criteria that appear to favor insurers over providers in an arbitration process to determine out-of-network payment amounts.
CMS makes templates available to help with aspects of the new surprise billing regulations
CMS has published templates and resources that can guide healthcare providers in implementing some of the surprise-billing requirements that take effect in January.
Medicare’s 2022 payment rule for physician services adds to a significant impending cut
CMS used the 2022 final rule for Medicare physician payments to offer accommodations on policies related to telehealth and more, but concerns loom about a large cut that's in the offing.
How to unleash the true value of your remote reps using workforce management
A data-driven management approach to revenue cycle that empowers your staff could effect sweeping change for improved long-term financial health.