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 ...

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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 ...

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The Power Behind the HFMA Peer-Reviewed Status

Abby BirchMarch 3, 2023

Dear Health Leaders,

 

In the world of revenue cycle ...

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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.

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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? 

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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, ...

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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, ...

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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.

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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.

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RACMonitor: Medicare Advantage -- No Apparent Advantage for Some

Dr. Ronald HirschSeptember 16, 2022

Complaints are abundant from beneficiaries.

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