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 ...

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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

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Hospital Price Transparency in 2022: Lessons Learned, Best Practices

Ogi Kwon, JD, MHAAugust 18, 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 ...

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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.

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US 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.

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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 ...

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Three Things Your Anesthesia Billing Company Should Be Doing

R1 RCMNovember 18, 2021

With regulatory changes inflating the cost to collect and declining reimbursement, many anesthesia practices are making the decision to outsource their revenue cycle management functions to a third-party vendor. As a part of this process, providers expect their billing partner to stay abreast of industry changes.

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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, making imaging a key source of ...

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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 air ambulances) refrain from ...

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