Articles Tagged With: revenue
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Pandemic Emergency Funds Spiked Healthcare Spending
Data show eye-popping healthcare expenditure growth for 2020, driven by federal paycheck protection, provider assistance, vaccine development, and virus testing.
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Denial Prevention Tactics Are Front End-Focused
Revenue cycle departments spend lots of time and money appealing denied claims. However, some hospitals are diverting resources to the front end instead. -
Same-Day Appointments Carry Value, But Auths Are Obstacle
Same-day appointments have become critical for hospitals trying to keep patients within their health system. This offering carries huge implications for patient satisfaction — and revenue. -
Changing Practice Models in Healthcare Raise Some Ethical Concerns
With all the ongoing changes in healthcare, such as physician contract clauses, new regulatory requirements, private equity ownership, and physician leadership, hospitals worry about the implications on revenue, patient satisfaction, and compliance. There also are important ethical considerations. The authors of a new policy paper from the American College of Physicians examined these.
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The Mystery of COVID-19’s Financial Impact
The revenue cycle impact is going to vary, depending on many factors. Short- and long-term evaluations of the COVID-19 pandemic impact are necessary to make sound conclusions and determine any future actions/directions.
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Summary of HHS Guidance on Provider Relief Fund Compliance
The reporting requirements for the Provider Relief Fund should not be a surprise to healthcare organizations. “Free” money usually comes with a lot of strings attached.
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Waived Cost-Sharing Is Questionable Help to Hospitals
Hospitals may not charge patients with any type of insurance cost-sharing for COVID-19 testing and related services, according to the Families First Coronavirus Response Act. This will certainly help patients. For hospitals, it probably means more lost revenue.
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Payment for Physician Referrals: Difficult for Hospital Leaders to Maintain ‘Clean Hands’
For years, federal laws (and some state laws) have prohibited hospitals from paying physicians for referrals. Yet some hospitals continue unethical and illegal practices, possibly due to a perception of low risk.
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Growing Role for Patient Access: Payer Contract Negotiations
Including patient access in the process is part of acknowledging the ever-expanding importance of front end participation in the revenue cycle.
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With a Little Patience, IT Expertise Pays Off for Revenue Cycle
Revenue cycle leaders and IT need one another to thrive. After spending time with IT in close proximity, revenue cycle leaders can gain a great deal of expertise. This comes in handy in bridging the gap between the two areas.