Hospital Price Transparency: CMS Pushes for Standardization

R1 Regulatory Affairs & Regulatory Compliance TeamJanuary 3, 2024

In an era of increasingly expensive care, price transparency initiatives have become a significant aspect of the U.S. healthcare system. From the Transparency in Coverage (“TIC”) requirements for health insurers1  to the Good Faith Estimate requirements of the No Surprises Act (“NSA”) for scheduled services,2  ...

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Why Intelligent Data is the Future of Patient Payment Solutions in 2024

R1 RCMDecember 13, 2023

One thing is clear as the transition into 2024 beginswhat worked for patient paymentsin the past will no longer suffice in the ...

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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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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 ...

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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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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.

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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 ...

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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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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

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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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