Revenue Cycle Management

Ripple effects of the pandemic on the move toward value

In this HFMA executive roundtable, seven executives for health systems and health plans share how the pandemic has impacted their organization’s move toward value — and what it will take to foster transparency and trust under these models.

By HFMA October 27, 2020

The payer episode: CMS interoperability rules and provider strategies for better conversations

Chris Hobson, from Orion Health discusses CMS’s upcoming deadline for interoperability requirements for payers and Geneva Schlabach from Vispa and Mike Duke from Baker Tilly talk about denials management.

By Erika Grotto October 26, 2020

In partial win for providers, HHS revises COVID-19 grant reporting

HHS revised guidance affecting $100 billion in Provider Relief Fund grants after pushback from providers.

By Rich Daly October 26, 2020

Employers again are planning to expand their use of narrow networks, survey finds

Large employers again say they plan a big increase in the use of narrow networks, a scenario made more likely by the pandemic.

By Rich Daly October 23, 2020

Updated reporting requirements for the CARES Act Provider Relief Fund: What providers need to know

New HHS guidance on reporting obligations for CARES Act Provider Relief Fund recipients could prove troublesome for providers that are caught off guard by the changes.

By Matthew R. Hutt, CPA, CGMA October 23, 2020

COVID-19 deals a severe blow to hospital performance

Health system executives and finance leaders responding to a recent survey expressed concern about the financial viability of their organizations amid the ongoing COVID-19 crisis.

By Lance Robinson October 23, 2020

Why healthcare providers should rethink their approach to self-pay collections | HMA

Prepayment is an option for patient self-pay collections that can contribute to a positive experience for patients and improved revenue cycle performance for a provider organization.

By Eric Fry October 23, 2020

How to prevent silent denials from eroding a hospital’s margin

Hospitals should take steps to prevent silent denials. Such denials are a common result of inaccuracies introduced as a result of clinical conservatism, which can have an impact on reimbursement before a claim is submitted.

By Kurt Hopfensperger, MD, JD October 23, 2020

Latest HHS provider relief fund FAQs offer insight into what’s permissible under the Sept. 19 reporting requirements

HFMA's Chad Mulvany says due to HHS's whipsaw approach to the provider relief fund FAQs and guidance, any clarity to be derived from the Phase 3 application instructions and FAQs needs to be considered with a measure of caution.

By Chad Mulvany, FHFMA October 22, 2020

4 crucial health system responses to the revenue impact of COVID-19

The nation's hospitals and health systems have a critical need to begin preparing now for the long-term financial impacts of the COVID-19 pandemic.

By Timothy E. Kinney October 21, 2020
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