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 ...
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 ...
The Power Behind the HFMA Peer-Reviewed Status
Abby BirchMarch 3, 2023
Dear Health Leaders,
In the world of revenue cycle ...
RACmonitor: Warning: Medicare Rates Up in 2023
Dr. Ronald HirschJanuary 27, 2023
EDITOR’S NOTE: Listen to Dr. Ronald Hirsch’s live reporting Monday on Monitor Mondays with Chuck Buck at 10 Eastern.
The Benefits of RCM Global Delivery: Five Myths Busted
R1 RCMDecember 13, 2022
While the healthcare industry continues to climb its way out of a pandemic, it’s also facing unprecedented challenges, including severe labor shortages and shrinking margins. What if there was a global delivery model that could help the industry during this challenging time?
Revenue cycles challenged by mandates of No Surprises Act
Susan MorseDecember 5, 2022
The No Surprises Act has reportedly done its job in preventing an estimated nine million surprise medical bills since going into effect at the start of this year, ...
HFM: No Surprises Act Regulations Remain Moving Target for Compliance
Nick HutNovember 3, 2022
Amid all the rules stemming from the No Surprises Act, a looming mandate for providers to send cost estimates to health plans looks like the biggest stress inducer.
Various regulations under the No Surprises Act have created strain for healthcare finance professionals since the initial rules were published in mid-2021, ...
RACMonitor: Why Too Much News is a Good Thing
Dr. Ronald HirschOctober 18, 2022
It is time for another multi-topic update. Some weeks produce just too much news to limit my reporting to one topic.
RACMonitor: AMA Misses Opportunity to Simplify Hospital E&M Coding
Dr. Ronald HirschSeptember 25, 2022
AMA scores a hit with new guidelines; misses simplification of one subset of hospital E&M codes.
RACMonitor: Medicare Advantage -- No Apparent Advantage for Some
Dr. Ronald HirschSeptember 16, 2022
Complaints are abundant from beneficiaries.
