Reducing Cost to Collect Amid Growing Revenue Cycle Challenges
R1 RCMAugust 28, 2023
Healthcare costs are rising. Labor shortages abound. Margins continue to shrink, and navigating the ever-changing revenue cycle landscape becomes trickier by the day. For many health systems, lowering the cost to collect seems unattainable given the growing number of revenue cycle challenges. However, with a smart ...
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 ...
Six Pitfalls to Avoid in a Healthcare Call Center to Drive More Cash
R1 RCMMay 19, 2023
It’s no secret that running an efficient modern healthcare call center can be a struggle. Health systems are currently facing unprecedented challenges, including skyrocketing costs, high labor shortages and increasingly more money left uncollected, resulting in monumental losses and long-term negative margins.
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 ...
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 ...
How Entri Pay Disrupts the Patient Payment Model
Nikolaus TrottaSeptember 21, 2022
The unprecedented challenges health systems face today are well publicized – from rising costs to scarce labor to shrinking margins – each of which is compounded by the ever-increasing portion of revenue that falls under patient responsibility. Patients can’t keep up. Even insured patients now represent
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 MoreHospital Access Management: Physicians, Patients Rarely Discuss Cost
Hospital Access ManagementFebruary 3, 2021
Physicians order tests, prescribe drugs, give referrals to specialists, and recommend surgery — almost always without ever addressing how much all of it costs.
