The Future of Good Faith Estimates Under the No Surprises Act
R1 Regulatory TeamJanuary 18, 2023
The No Surprises Act of the 2021 Consolidated Appropriations Act (“NSA”) established requirements for healthcare providers to deliver Good Faith Estimates (“GFEs”) for scheduled services or upon patient request.
Key Takeaways:
- Indefinite extension of co-provider and co-facility enforcement ...
Hospital Price Transparency: Lessons Learned, Best Practices
R1 Regulatory TeamDecember 19, 2022
Federal price transparency requirements for hospitals from the Centers for Medicare & Medicaid Services (CMS) provide patients with an unprecedented amount of insight into the costs for medical services.1
In theory, more pricing information should ...
Three Things Your Anesthesia Billing Company Should Be Doing
R1 RCMNovember 10, 2022
It's common for anesthesia practices to turn to anesthesia billing companies for revenue cycle support. But is your billing company doing what it should be doing for your physician group?
Early Insights on Independent Dispute Resolution Under No Surprises Act
R1 Regulatory Affairs & Regulatory Compliance TeamSeptember 23, 2022
On August 19, 2022, the Departments of Health and Human Services (“HHS”), Labor, and the Treasury (“the Departments”) issued a Federal Independent Dispute Resolution Process Status Update.1 In the statement, the Departments reported that between April 15th and August 11th, 2022, providers initiated ...
3 Ways Revenue Cycle Partnerships Produce Financial Sustainability
R1 RCMAugust 25, 2022
There is no doubt that many healthcare systems and 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
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.
What Is Revenue Cycle Management in Healthcare?
R1 RCMFebruary 11, 2022
Revenue cycle management (RCM) in healthcare is the business process that enables organizations to be paid for providing services. There are 17 unique steps in the revenue cycle, which ...
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
