Action Needed: Why Medical Debt Should Concern Health Organizations
R1 Regulatory TeamJune 22, 2022
In the United States, an estimated 43 million Americans hold a total of $88 billion in medical debt on their credit reports. Patients often incur these expenses unexpectedly, leading to high rates of bankruptcy. Healthcare organizations are now facing increased scrutiny over patient billing and collection practices.
Read MoreUS News & World Report: 8 Questions to Ask Before Paying Medical Bill
Maryalene LaPonsieApril 12, 2022
A single stay in the hospital can result in a bewildering array of bills covering a number of services and providers. Some statements may provide scant details to justify charges while others could include descriptions or codes that make little sense to the average person.
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 for providing estimates, i.e., the ...
Adventist Health Selects R1 as Patient Billing Partner in its Quest for Consumer Excellence
R1 RCMNovember 16, 2021
VisitPay to offer a seamless and complete payment experience for Adventist Health patients expanding the reach of R1’s Entri™ platform
Start Preparing Now for the CMS Appropriate Use Criteria (AUC) Program
Maddie CorriganSeptember 28, 2021
The imaging market in the United States is estimated to generate more than $100 billion annually. While approximately 60% of the imaging volume is conducted within hospitals, making imaging a key source of ...
Deciphering the No Surprises Act: Top FAQs to Prepare
Ogi Kwon & Sharon KimJuly 1, 2021
The No Surprises Act (“the Act”), effective January 1, 2022, is a federal law designed to protect patients from unexpected excessive medical bills when they are unable to choose an in-network provider. The law requires that out-of-network providers (including hospitals, physicians, non-physician providers, and air ambulances) refrain from ...
AAPL: Physician Billing During the COVID-19 Public Health Emergency: Ambiguities Abound
Dr. Ronald HirschJune 14, 2021
The COVID-19 pandemic brought with it an unprecedented number of waivers and regulatory flexibilities that allowed physician practices to continue to provide care to patients in the office and hospital. But with these came significant confusion related to coding of services provided to patients during the public health emergency. This article ...
How Emergency Physician Groups Can Endure Balance Billing Restrictions
Kathryn BeardMay 11, 2021
While the price transparency law is helping patients better anticipate and manage healthcare costs, there are still situations where they can receive unexpected bills – especially when making a trip to the emergency department ...
3 Ways Revenue Cycle Partnerships Produce Financial Sustainability
Richard Lopez del RinconFebruary 23, 2021
This post is part two of a two-part blog.
There is no doubt that many practices are in a strenuous financial period. Organizations need to quickly identify opportunities to reduce costs and increase profitability, which is making them seriously consider
Why CBOs Aren't Financially Viable for Practices
Richard Lopez del RinconFebruary 23, 2021
This post is part one of a two-part blog.
It’s no secret that over the past few years, physician organizations have faced several significant financial hurdles. From adjusting to value-based care, to serving more and more underinsured patients, to the most recent financial hit:
