Revenue Cycle Management

Hospitals, physicians file lawsuit over the arbitration process in the new surprise billing regulations

Leading provider associations have asked a federal court to halt the incorporation of criteria that appear to favor insurers over providers in an arbitration process to determine out-of-network payment amounts.

By Nick Hut December 10, 2021

A bill to mitigate scheduled Medicare payment cuts of $14 billion is ready to go in Congress

The House of Representatives is set to vote on a bill that would nullify a large share of 2022 Medicare payment cuts.

By Nick Hut December 9, 2021

The COVID-19-induced surge in healthcare labor costs is testing hospitals and health systems

Struggles with the pandemic’s financial impact on the healthcare workforce leave few alternatives besides innovation, say industry experts and leaders on the front lines.

By Nick Hut December 9, 2021

Adopting the first responder mindset in leadership

Michael Bumann is the founder and CEO of Red Dot, a company that specializes in resolving motor vehicle accident accounts for healthcare organizations, and his history as a firefighter and EMT informs every aspect of his business. In today's episode, Bumann discusses what lessons leaders can take from first responders to take action in times of great challenge.

By Erika Grotto December 8, 2021

Healthcare News of Note: Youth mental health-related emergency department visits are on the rise as a result of the pandemic

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: Mental health-related ED visits increase for children and teens, hospital volumes are nearly at 2019 levels, and TransUnion Healthcare sees a 55% increase in financial assistance requests in a 12-month period.

By Deborah Filipek December 3, 2021

Court injunction stops federal COVID-19 vaccine mandate for healthcare workers from being implemented as scheduled

A federal judge has halted implementation of a new rule that would require all on-site staff in hospitals and most other healthcare settings to be vaccinated against COVID-19.

By Nick Hut December 2, 2021

CMS makes templates available to help with aspects of the new surprise billing regulations

CMS has published templates and resources that can guide healthcare providers in implementing some of the surprise-billing requirements that take effect in January.

By Nick Hut December 2, 2021

10 states file lawsuit to halt CMS’s new rule requiring healthcare staff to be vaccinated

The suit says CMS didn’t have a good rationale for implementing the mandate and failed to follow required procedures for handing down such regulations.

By Nick Hut December 1, 2021

Exploring opportunities to improve provider-payer data exchange

Revenue cycle leaders share strategies and the benefits for effective data exchange between providers and payers, as well as the challenges in this executive roundtable.

By HFMA November 30, 2021

News Briefs: Federal vaccination requirements finalized for hospitals and most other healthcare settings

If a hospital’s staff aren’t fully vaccinated by Jan. 4, the organization will be deemed noncompliant with Medicare and Medicaid regulations, according to a new federal rule.

By Nick Hut November 30, 2021
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