Revenue Cycle Management

How should we bill New York Medicaid when there are providers that are not hospital employees providing services in an emergency department setting?

Henry County Health Center has simplified patient billing and added a patient estimator tool to enhance the patient experience and improve collections.

To maximize results, healthcare finance leaders should establish an integrated view of the organization’s entire revenue ecosystem, aligning across organizational strategy, payer contracting, clinical operations, and revenue cycle drivers.

Change Healthcare and HFMA partnered on a research study that analyzed the state of claims denials in the United States. It focused on understanding providers' first-pass claim rates, denials occurring from lack of pre-authorization and medical necessity processes, and pain points that are opportunities for innovation. 

Krislyn M. Boggs and Carlos A. Camargo, Jr. describe how the Massachusetts General Hospital-based Emergency Medicine Network helps people find the nearest emergency department.

United Health Services, a not-for-profit health system serving New York, realized substantial benefits by implementing a clinical documentation improvement program.

Finance leaders provide critical information and expertise in healthcare organizations that are looking to improve patient access.

Are members of the group assessing their chargemasters annually? What do they consider when deciding which charges to increase and by how much?

I am seeking guidance on time frames that define stat orders, patient financial liability waivers for stat orders, and health system liability if patients wait to receive tests ordered as stat.

Four Milwaukee-area health systems are working together to complete federally mandated community needs assessments more efficiently. They partner with 18 local health departments to collect and analyze data that informs their local health improvement strategies.