Evaluating RCM Technology Through Three Different Stakeholder Lenses
R1 RCMJuly 6, 2023
RCM outsourcing and technology go hand-in-hand. This robust technology can lead to reduced costs and increased revenue collections, which is especially important in light of new hospital margin data included in Kaufman Hall's
Executive Shares Insights on RCM Outsourcing
R1 RCMJuly 6, 2023
If you’re like most healthcare executives, you've probably spent countless hours thinking about a host of challenges including rising operating costs, the labor market, and how to improve the patient experience. You’ve probably read articles about RCM outsourcing, watched webinars and analyzed data about the impact it can have. Maybe you’ve ...
Why Prior Authorization Reform Should Garner Provider Support
R1 Regulatory TeamApril 14, 2023
In the United States, prior authorization (“PA”) is a cost-containment tool utilized by payers to reduce payment for medically unnecessary or inappropriate patient care. Despite its laudable policy goals, the use of PA faces
The Power Behind the HFMA Peer-Reviewed Status
Abby BirchMarch 3, 2023
Dear Health Leaders,
In the world of revenue cycle ...
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 ...
Communication and Shared Goals: Creating Successful RCM Partnerships
R1 RCMOctober 14, 2022
What do marriages, friendships and even revenue cycle partnerships all have in common? They are powered by communication, shared goals, commitment and adaptability – things that are key to any successful and long-term relationship.
Becker’s Healthcare sat down with Nola Wyatt, recently retired vice president of revenue cycle at ...
Healthcare Trends and Data Show Clinical Shortage 'Tip of the Iceberg'
R1 RCMOctober 6, 2022
As the country is emerging from the worst of the pandemic, restaurants, local shops and national chains are constrained by staffing shortages. It’s an inconvenience to say the least, but this is just the tip of the iceberg as other sectors of the labor market are tightening in more crucial ways.
A healthcare labor shortage – one that ...
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 ...
RACMonitor: Will Rural Emergency Hospitals Save Rural Health Care?
Dr. Ronald HirschJuly 22, 2022
All eyes are on the new proposal put forth by CMS to create Rural Emergency Hospitals.
