Revenue Cycle Management

HFMA researchers—with sponsorship from Parallon―surveyed senior finance executives and revenue cycle leaders to learn about their organizations' self-pay processes and patient financial engagement efforts. Survey findings paint a picture of the current state of patient collections and reveal key areas for improvement, including pre-service pricing, automation, and presumptive charity care.

Three revenue cycle leaders explain how their organizations extend financial assistance to patients who decline to obtain coverage from an insurance exchange, even though they are eligible to do so.

By analyzing coder performance data, organizations pinpoint revenue vulnerabilities and mitigate reimbursement risk.

What is the average amount of time to be used to calculate accounts receivable (A/R) days and days cash-on-hand?

Concerns about the two-midnight rule continue, but experts insist that they can be overcome with better education of utilization review and case management staff.

Our hospital is developing a self-pay discount policy. What are some of the legal ramifications we should be aware of?

An effective revenue cycle department meeting covers KPI updates, challenges and successes, and input from other department leaders as needed.

Millenials want convenient onsite and virtual healthcare service options as well as transparent pricing and easy-to-use payment tools.

Is there a hospital business office staffing model or documentation that includes number of billers, collectors, precertification, authorization specialists, and customer service?

CHRISTUS Health appoints regional executives who work with coalition partners to reach market-specific health insurance exchange enrollment goals.