Revenue Cycle Management

It is important to both health plans and providers that the originator of an Electronic Funds Transfer (EFT) is easily and correctly identified, and that associated Electronic Remittance Advice (ERA) is sent in a timely manner, to eliminate the need for time-consuming follow-up.

Good managers don't live in boxes. And at Utah's Intermountain Healthcare, it's pretty much mandated that they break out of them, especially when it comes to improving revenue cycle management.

Some health systems are trying to help patients avoid high-cost bills altogether, by working with insurers to craft value-based plans that offer low out-of-pocket costs.

The acquisition gives Constellation a foothold in New York, New Jersey and Florida.

Collect financial information upfront, fight insurance denials, and send a combined bill from hospital and physician among advice for hospital finance staff.

The agencies say they will establish a 180-day waiting period before medical debt is added to someone's credit report.

Whether it's the change from fee-for-service to value-based reimbursements, or the looming switchover to ICD-10 coding, revenue cycle managers have a lot to deal with.

Linking heath information management staff with doctors helped cut a Mississippi hospital's delinquency rate from 40 to 13 percent.

To remain competitive, physician practices must not only provide the best clinical care to their patients, but also optimize the way they manage revenue, making sure they preserve cash flow, limit bad debt and receive full reimbursement for services rendered.

Don't downplay patient experience when making the choice, says Cone Health VP Mike Simms ahead of April's Revenue Cycle Summit.