RACMonitor: CMS Pushes Forward with Guidance on Alzheimer’s Drug

Dr. Ronald HirschJanuary 20, 2022

Clinical trials for the medication showed no significant improvement in patients.

Read More

HFMA: New Surprise Billing Regulations - Assessing Patient Network Status

Nick HutJanuary 10, 2022

  • With new surprise billing regulations in place, providers should ensure they have efficient processes for gauging whether a patient is in-network.
  • For some providers, the task may prove to be more trouble than it’s worth in terms of opportunities to balance-bill patients.
  • The ...

    Read More

HFMA: Surprise Billing Regulations and How Providers Should Prepare

Nick HutDecember 20, 2021

  • Providers have had a mere three months to implement the processes needed to comply with a new requirement to furnish uninsured patients with good-faith price estimates ahead of services.
  • A key early step for any provider is to determine whether it generally will be the entity responsible ...

    Read More

Healthcare Finance: Self-Scheduling Eases Patients, Workloads and Appointments

Susan MorseNovember 12, 2021

The revenue cycle automation enabled Baptist Health Care to quadruple the number of diagnostic appointments made online.

Read More

Becker's Hospital Review: Rev Cycle Optimization Powerful for Transforming Patient Experience

R1 RCMNovember 12, 2021

The patient journey often starts before a patient sets foot in a hospital or a physician's office. It’s the initial steps in the revenue cycle that can set the tone for the entire patient journey.

Read More

Becker's Hospital Review: Darwin and the Revenue Cycle

Gary LongNovember 1, 2021

In Charles Darwin’s seminal work on evolution, he said “It is not the strongest of the species that survives, nor the most intelligent. It is the one that is the most adaptable to change.” I think it’s fair to say that this is being proven true in healthcare now more than ever.

Read More

HFMA NJ Chapter Journal: Keep Your Eye on the Ball - Fee Schedules are Missing the Mark

Dr. Ronald HirschOctober 19, 2021

When the Centers for Medicare & Medicaid Services (CMS) finalized the 2021 Outpatient Prospective Payment System Final Rule, they included their plan to abolish the inpatient-only list over the next four years, starting this year with the removal of all orthopedic procedures and ...

Read More

HIT Consultant: Improving Patient Experience Amid The No Surprises Act

Ogi KwonSeptember 10, 2021

With the No Surprises Act taking effect in less than four months, it is critical that hospitals and providers leverage technology to ensure patients are informed about their expected care costs prior to receiving services. Despite industry improvements in the last several years, there remains a pressing need for ...

Read More

For The Record: Avoid Prior Authorization Denials with Front-End RCM

Connie SmithSeptember 8, 2021

The cost and administrative burden associated with prior authorizations is not new, nor is it getting better for physicians or health systems. According to MGMA, provider practices report a 

Read More

Group Practice Journal: Work Smarter Not Harder - Emerging from the Pandemic Positioned for Growth and Stability

Vijay KotteSeptember 1, 2021

Rebounding from the extreme financial strains of COVID-19 requires a hard look at your revenue cycle and how it is maintained: Where are the opportunities to improve patients’ experiences and address their demands to “go contactless”? How can your revenue cycle and front-office teams work efficiently? Are you ...

Read More