Little progress seen in mitigating prior-authorization challenges
Prior-authorization challenges appear to be worsening for providers, despite a 2018 payer-provider effort to address such problems.
Analysis: Effect of expansion of pre-tax accounts for employees to purchase insurance
HFMA's Chad Mulvany shares the possible impact of a proposed rule that allows employers to make pre-tax contributions for employees to purchase individual coverage starting in 2020.
CareCredit: A proven payment solution
An industry-leading patient financial solutions company details how its credit card solution facilitates patient payment, helping the patient and healthcare organization.
Opportunities and strategies for improving pharmacy financial performance
A roundtable of senior healthcare financial and pharmaceutical leaders that covers challenges and strategies for improving pharmacy financial performance.
How Texas Health Resources improved patient access and preservice revenue
The health system uses a centralized preservice financial clearance department and automated dialers to contact 98 percent of scheduled patients before they receive services.
Using artificial intelligence to improve revenue cycle operations
In God we trust; all others must bring data — W. Edwards Deming The ability to use the data aggregated throughout the revenue cycle is critical to proactive issue resolution, project prioritization, estimation of financial impact of revenue cycle initiatives and forecasting. However, data analysis at each stage of the revenue cycle is dependent on…
Data Integration Challenges Prevalent with Outside Vendors
Today’s revenue cycle increasingly relies on external business partners to process payments. Unfortunately, passing accounts back and forth from the business office to outsourced vendors brings data integration challenges. Often, reconciliation issues occur when the same account is in multiple locations such as with the hospital and the outsourced vendor. This breakdown in inventory integrity…
6 revenue cycle objectives for the transition to value-based payment models
To maximize revenue, medical practices are focusing on value — delivering high-quality care while managing total costs — and managing risks associated with two-sided payment models.
A deeper dive into risk-adjustment coding
Common coding pitfalls and best practices for accountable care organizations are discussed in this Q&A.
Providers push arbitration approaches used in some state surprise-bill laws
What should Congress learn from states’ experiences with laws attempting to curtail surprise healthcare bills?