Four Patient Payment Problems and Solutions to Lower Collection Costs

R1 RCMNovember 15, 2023

Patients have long turned to their healthcare providers for empathy and guidance through some of life’s toughest situations. However, when it comes to paying for the care they’ve received, many patients don’t experience the same guidance.

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Discharge Planning in Hospitals – Two Important Clarifications

Dr. Ronald HirschNovember 9, 2023

In 2019 the Centers for Medicare & Medicaid Services (CMS) adopted significant changes to the hospital discharge planning conditions of participation. As most know, the conditions of participation are rules by which a medical provider must abide to be able to provide care to Medicare and Medicaid patients and any other federally funded ...

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Important: Livanta Confirms Stance on One Day Inpatient Admissions

Dr. Ronald HirschAugust 28, 2023

As I reported last week for RACmonitor, Livanta released a newsletter about short inpatient stays at the end of July. Their case examples were, to put it mildly, surprising. And as I discussed, I provided them some feedback – and they were kind enough to respond to me. I expected them to backtrack on some points, based on my experiences ...

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A Perfect Storm: Agencies Collaborate on Medical Debt, Price Transparency, Charity Care

Kathryn Beard, JDAugust 17, 2023

Almost 40% of Americans recently reported they were deferring medical care due to the cost of treatment.1 This is particularly true for Americans with low incomes, who have reported cancelling treatment for even the most serious conditions due to an inability to pay for necessary services.


Financial ...

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Transform the Patient Payment Experience with These Two Key Offerings

R1 RCMAugust 11, 2023

A successful patient engagement strategy requires effective implementation of patient account resolution tools and services that address the entire patient obligation pool. While digital tools have advanced self-service patient payment resolution, there will continue to be a need for modernized call center services with compassionate human ...

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Texas Judge Vacates No Surprises IDR Fee Increase, Batching Rule

Kathryn Beard, JDAugust 9, 2023

Disclaimer: This information is for educational purposes only and is current as of August 8, 2023. Not intended to be used as or constitute legal or medical advice.  


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Plenty of Healthcare News to Cover as Summer Heats Up

Dr. Ronald HirschJuly 28, 2023

There has been lots of healthcare news in the past two weeks. First, I hope all of you read my RACmonitor e-news article from July 6 about the right observation rate. If you didn’t, here’s a preview: I did it. ...

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Robust RCM Systems: Keys to Effective Coding, Billing and Collections

Jeff GruberJuly 25, 2023

Effective coding, billing and collection processes are vital to ensuring timely and accurate payment for practice services. In the absence of strong procedures and systems, you put your medical group's financial stability at risk.

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Breaking News: Medicare Advantage Must Follow Two-Midnight Rule

Dr. Ronald HirschJuly 24, 2023

With an extremely compressed timeframe, the Centers for Medicare & Medicaid Services (CMS) released 

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All Healed Up with Nowhere to Go

Dr. Ronald HirschJuly 24, 2023

On the June 5 edition of Monitor Mondays and in a recent RACmonitor news article, Dr. Bonny Olney from Read More

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