HFMA Revenue Cycle Conference tackles issues big and small
Some of the most interesting experiences to be had at HFMA’s 2025 Revenue Cycle Conference held March 19-21 in San Antonio could be found off the stage during snack and meal breaks. A conversation with a group of revenue cycle management (RCM) professionals really struck a chord in highlighting the dedication many of them apply…
How AI and automation are revolutionizing revenue cycle operations for faster, more accurate reimbursement
Revenue cycle management (RCM) is a critical component of healthcare operations, yet providers face mounting challenges in ensuring timely and accurate reimbursements. Manual processes, evolving regulatory requirements and administrative inefficiencies contribute to revenue leakage and operational burdens. Traditional RCM processes are labor-intensive, relying heavily on manual billing, coding and claims submission. These inefficiencies not only…
Stem Revenue Leakage: Strategies for Healthcare Providers to Optimize Revenue
In this white paper, experts from Zelis outline some common problems hospitals and other providers face with revenue capture and offer guidance for health systems on strategies to improve key aspects of revenue cycle management. You’ll explore:
New medical debt rule already is just about null and void
The future is shaky at best for a new rule preventing medical debt from appearing on consumer credit reports. The Biden administration’s leadership at the Consumer Financial Protection Bureau (CFPB) published the regulations in mid-January, with an effective date of March 17. But the Trump administration pushed back the effective date back by 90 days,…
Addressing social determinants of health in revenue cycle management
Integrating SDoH into RCM provides equitable care and improves financial outcomes. By addressing economic and social barriers early in the RCM process, providers enhance patient experiences and reduce costs. This approach aligns with value-based care models and improves overall health outcomes.
Revenue and Cost Pressures Research Summary
HFMA, with sponsorship from Humana, surveyed 166 healthcare executives to reveal key areas for managing costs of care, operational performance, and risk. To learn more, download the key findings from the survey.
How pre-bill automation positively affects efficiency and financial outcomes
Eighty-four percent of health systems report that lower reimbursement from payers is a top cause of low operational margins, according to an HFMA survey. Hospital revenue cycle leaders understand that not only are reimbursements lower, but if there are any errors or inefficiencies in coding bills that can also lengthen the process of getting paid.…
Revenue cycle leaders: How they optimized financial performance for outpatient and ancillary services
Over the last decade, outpatient and ancillary services have typically yielded high profit margins for healthcare organizations. However, today’s organizations cannot ignore consumers’ demand for low-cost, high-quality care. This, coupled with inflation and, per updated Peterson-KFF data, an increase in the cost of hospital outpatient services by 8.3% specifically, has opened the door for lower-cost…
Benchmark tool for revenue cycle automation finds some success
A just over one-year-old revenue cycle management benchmarking tool has been working well for two early adopters of the framework, called the Revenue Cycle Management Technology Adoption Model (RCMTAM). The Pennsylvania Mountains Healthcare Alliance (PMHA) and UC San Diego Health (UCSD) have used the model to gain more clarity on how their RCM operations are…
In pushing through restrictions on medical debt reporting, CFPB brushes off criticisms and concerns
Rebuffing apprehensions of healthcare providers and debt collectors, the Consumer Financial Protection Bureau (CFPB) published a final rule to block medical debt from appearing in a consumer’s credit history. As initially proposed in June, the regulations prohibit lenders from obtaining and using information about medical debt when determining a consumer’s credit eligibility (exceptions may include…