Revenue integrity — minding the gaps between clinical operations, coding and billing
In an industry where “no margin means no mission,” revenue integrity is emerging as a tool and an initiative to enhance margin and preserve the mission of health systems.
2018 patient out-of-pocket costs increase 12%
A recent analysis found that about 59% of patients in 2018 had an average out-of-pocket expense between $501 and $1,000 during a healthcare visit. This was a dramatic increase from 39% in 2017.
8 tips to identify potential issues with the chargemaster
Reviewing billing edits and claim denials, as well as scheduling quarterly chargemaster reviews can help healthcare providers proactively identify potential challenges.
Making price transparency easy for patients
Proactive providers are preparing for additional price transparency requirements to ensure they not only comply with government regulations, but also provide patients with enough information to make informed healthcare decisions.
Analysis: Groupon for healthcare services fills a void for consumer-focused pricing
It should be no surprise to U.S. healthcare providers that Groupons are available for healthcare services given the high cost of healthcare and lack of price transparency.
The Hospital Impact of the “Public Charge” Immigrant Rule
Rich Daly and Chad Mulvany discuss the impact of the "public charge" rule on hospitals. Jim Zadoorian of ARXchange talks about a new approach to price transparency. Also, Strata Decision Technology provides five ways healthcare organizations can prepare for the future with strategic planning.
How providers should adapt to the demands of a consumer-driven healthcare system
Insights during a 2019 HFMA Annual Conference cohort revealed various approaches that providers can use to meet the increasingly urgent challenge of improving the patient experience.
Change Healthcare: Curbing Bad Debt by Improving the Patient Financial Experience
In this roundtable, several revenue cycle leaders discuss how they are tackling escalating patient responsibility, exploring the value of putting individuals on pathways toward payment that boost satisfaction and revenue.
Ontario Systems: Helping Healthcare Organizations Realize the Benefits of an Accountable Collections Team
Steve Scibetta, vice president and general manager at Ontario Systems, offers strategies for optimizing the revenue cycle, including employing supportive accounts receivable technology and building an accountable collections team.
BLS|Revecore: Technology-Driven Underpayment Review Services
In this article, BLS|Revecore talks about how its underpayment review technology and deep industry expertise help organizations collect dollars that would otherwise go unrecovered.