By Todd Doze – Passed into law this July, the bill brings with it $930 billion in Medicaid cuts that are expected to cause nearly 12 million Americans to lose health insurance coverage, tightened Medicaid eligibility rules, and funding reallocations that will significantly alter how care is paid for and who gets covered.
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By Matt Wildman – On a recent episode of The MRO Exchange, Seth Katz, Vice President of Revenue Cycle at University Health in Kansas City, Missouri, shared insights on how innovation, technology, and mission-aligned partnerships have transformed their approach to release of information (ROI), contributing to improved financial performance and compliance.
By Ritesh Ramesh – Healthcare finance executives face an intensifying storm of audits, denials, and clawbacks that threaten their organization’s financial stability. Couple that with an environment of heightened regulatory and payer scrutiny, and it becomes clear that proactive risk monitoring and AI-driven compliance strategies are no longer optional—they are imperative.
By Frank Forte – Despite the widespread adoption of electronic health record systems and advances in interoperability, healthcare organizations continue to face significant hurdles in managing their revenue cycle operations, particularly when handling the most challenging areas of reimbursement.
By Mike Esworthy – Healthcare providers serving veterans face a growing paradox: While the VA has made tremendous strides in sharing health data through its interoperability initiatives, the financial and administrative challenges of VA claims processing remain largely unresolved.
By David R. Burda – A short research letter recently published in the Journal of the American Medical Association supports the idea that it’s providers and payers, not patients, that have created the revenue cycle mayhem.
By Matt Bridge – Financial clearance activities are critical to constructing a strong foundation for a high-performing revenue cycle. However, a provider organization’s ability to financially secure appointments in advance of a patient’s visit is often limited by a lack of staffing, technology, and operational processes.
By Christy Seely – Thanks to the rise of high-deductible health plans, patients’ share of financial responsibility continues to grow—and almost 50% of it typically ends up written off as bad debt. But there are steps you can take to make sure that statistic doesn’t end up as your statistic.
The HFMA National Health Institute hosted its annual ANI conference for 4 days in Las Vegas at the end of June. Braving scorching 110+ degree…