Revenue Cycle Management

Address Patient Financial Risk in Pre-Service to Boost Revenue and Earn Loyalty

To improve patient satisfaction and decrease uncompensated care, educate patients on their healthcare expenses, benefit coverage, and payment options.

By Kim Williams July 12, 2018

Colorado Healthcare System Increases Price Transparency for Self-Pay Patients

SCL Health shows self-pay prices in two ways—an average for a specific service and the range of prices charged in the past year. This helps set realistic expectations when prices are above average based on varying factors.

By Lola Butcher July 12, 2018

Self-Pay Transparency in Colorado: What the Law Says

Colorado’s Transparency in Direct Pay Health Care Prices Act requires health facilities to publish online the self-pay prices of their 50 most-used DRG codes and the 25 most-used CPT codes.

By HFMA July 12, 2018

Your To-Do List When Health Plan Contracts Change

Six steps can help revenue cycle leaders manage health plan changes effectively.

By Lola Butcher July 12, 2018

Exemptions to Anthem’s ED Policy

Anthem will not deny an ED claim based on the prudent layperson standard if certain conditions apply.

By HFMA July 12, 2018

Ask the Experts: Physician Practice System Implementation

Is there a template for a new physician practice management system implementation plan geared towards denial management and collection modules?

By HFMA July 12, 2018

New Best Practices for Reporting Bad Debt

Credit reporting is becoming less effective as a result of new regulations and evolving hospital bad debt programs.

By Don Wright July 9, 2018

Billing Processes Need Overhaul as Patient Payments Increase

The challenge of increasing patient financial responsibility is compounded by consumers’ confusion with billing documents.

By HFMA July 9, 2018

Closing Patient Communication Gaps

While some patients struggle to pay their healthcare bills, it’s also true that plenty of bad debt is the result of disconnects in the billing process and confusion over what patients owe.

By Matt Hawkins July 9, 2018

Offshore Coding Costs More in the Long Run

Offshore coder productivity was 34 percent lower per hour than domestic coders, according to a recent study. Healthcare organizations needed 51 percent more offshore coders, raising the effective hourly rate of offshore coders to $52.85 per hour, versus $60 for domestic coders.

By Bill Wagner July 9, 2018
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