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 ...

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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

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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, ...

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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 ...

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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 ...

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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 ...

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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

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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: ...

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Physicians Practice: Thriving Through Better Claims and Collections

Drew BoxerOctober 28, 2020

Current revenue cycle management (RCM) processes in some practices may be well established, but there is always room for improvement and optimizations.

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Independent Practice Survival in a Value-Based Environment

Lynn Guerrant BSN, MSFebruary 28, 2020

With the advent of MACRA, CMS has begun to shift healthcare reimbursement from fee-for-service to one based on achievement of value-based metrics.  The goals of Value-based care are to improve care quality and lower costs.  Independent providers must overhaul their financial and clinical processes to ...

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