The yin-yang of Medicaid: Expected federal regulations will increase number of uninsured despite increase in states taking expansion dollars
Despite more states considering taking Medicaid expansion dollars, federal regulatory efforts may drive an acceleration in the number of uninsured.
Prior-authorization cost and time burdens increase for providers, report finds
Provider burdens from health plans’ use of prior authorization continue to mount amid calls to make the process fully automated.
HFMA’s Revenue Cycle Conference in New Orleans focuses on consumerism
HFMA’s new Consumerism Maturity Model serves as the blueprint for this year’s Revenue Cycle Conference.
HFMA’s December Chicago Seminars focus on revenue cycle essentials, value-based payment and chargemaster strategies
Register now at hfma.org/seminars to learn about the most pressing issues in the industry today during a two-day focused education Dec. 5 and 6 in Chicago.
Revenue Cycle Strategist December 2019
The December 2019 issue of Revenue Cycle Strategist features articles on building a chargemaster, new coding changes for 2020, revenue integrity, evaluating and management charges and patient financing.
Big divergence nationally found among hospitals both in billed charges and amounts paid
A national consultancy found large disparities in what hospitals charge and in the revenue they garner for most common services.
BESLER: Full-service Transfer DRG revenue recovery
BESLER talks about its Transfer DRG revenue recovery service that helps hospitals recover monies they have rightfully earned while maintaining compliance.
Rising out-of-pocket cost of having a baby can impact hospital revenue and reputation
The increase in consumer out-of-pocket costs for having a baby can have a negative impact on both a hospital’s financial performance and its perception in the community.
Analysis: How one health system is using food as medicine with great results
HFMA’s Katie Gilfillan discusses how ProMedica, a Toledo, Ohio-based healthcare organization serving communities in 28 states has operated food pharmacies at three of its medical clinics and describes the positive results from the health system's efforts.
Auth-DP software helps streamline prior authorizations to reduce denials
A leading revenue cycle technology company talks about how its innovative prior authorization software streamlines the process of checking for, obtaining and following up on prior authorizations, saving organizations millions in avoided denials.