Exclusive Report: Data and Trends to Help Health Systems Combat Top Revenue Cycle Challenges and Stop Revenue Leakage
Kyle HicokMay 25, 2023
Rising costs. Labor shortages. Shrinking margins. These are market challenges we hear from Chief Financial Officer and Vice President of Revenue Cycle partners over and over again. They need a way to combat these obstacles that are wreaking havoc on their revenue cycle, causing them to lose millions of ...
Six Pitfalls to Avoid in a Healthcare Call Center to Drive More Cash
R1 RCMMay 19, 2023
It’s no secret that running an efficient modern healthcare call center can be a struggle. Health systems are currently facing unprecedented challenges, including skyrocketing costs, high labor shortages and increasingly more money left uncollected, resulting in monumental losses and long-term negative margins.
Medicare Poised to Expand List of Medications Excluded from Consolidated Billing
Dr. Ronald HirschMay 4, 2023
SNFs now have a golden opportunity to speak up about an issue that prevents many patients from accessing their care.
Non-compliant Payers: “Hello, CMS, Are You Listening?”
Dr. Ronald HirschMay 2, 2023
As you may know, several payers have adopted a policy that they will review hospital billing for facility fees for emergency department visits, and will use their proprietary tools to automatically downgrade such visit codes based on the diagnoses and services listed on the claim. But as nearly all surely know, this is not compliant ...
Medical Practice Management: Three Success Drivers for 2023
R1 RCMMay 2, 2023
We are already well into 2023 and the challenges that physician practice leaders are facing remain incredibly tough. In these times when margins are razor-thin, are you confident that your practice management systems and processes are as efficient as they could be? Is your revenue cycle optimized for success?
Why Prior Authorization Reform Should Garner Provider Support
R1 Regulatory TeamApril 14, 2023
In the United States, prior authorization (“PA”) is a cost-containment tool utilized by payers to reduce payment for medically unnecessary or inappropriate patient care. Despite its laudable policy goals, the use of PA faces
The Power Behind the HFMA Peer-Reviewed Status
Abby BirchMarch 3, 2023
Dear Health Leaders,
In the world of revenue cycle ...
Executive Shares Insights on RCM Outsourcing
R1 RCMMarch 1, 2023
If you’re like most healthcare executives, you've probably spent countless hours thinking about a host of challenges including razor thin margins, the labor market, and how to improve the patient experience. You’ve probably read articles about RCM outsourcing, watched webinars and analyzed data about the impact it can have. Maybe you’ve even ...
R1 RCM Issues 2022 Environmental, Social, and Governance Report
R1 RCMMarch 1, 2023
Report details company’s continued commitment to corporate responsibility and sustainability on behalf of its customers and their patients, employees, communities, and shareholders
A Post-Mortem on Medical Necessity Criteria – Not So Fast
Dr. Ronald HirschFebruary 24, 2023
The proposal from the Centers for Medicare & Medicaid Services to codify the requirement that all Medicare Advantage plans use the Two-Midnight Rule for determining admission status of all patients has some talking that the use of commercial criteria will become obsolete. ...
