Billing and Collections
In a recent study, Truven Health Analytics found more than a $10,000 price variation in bundled spending for knee and hip replacement, depending on geography.
Poor communications, revenue cycle deficiencies held back point-of-service collections, director Scott Urlich says, and it needed to be fixed.
Meridian Health, a New Jersey-based nonprofit healthcare organization, has revamped its patient payer interface by partnering with Patientco, a patient revenue cycle technology company.
West Virginia hospitals are savings millions annually thanks to declines in uncompensated care due to Medicaid expansion, according to figures released by advocacy group West Virginians for Affordable Health Care.
As healthcare leaders surveyed by Healthcare Finance say consumerism will be the largest driver of change in 2016, many point to challenges that come with the transition.
A pre-authorization process for certain medical supplies has worked to bring down costs in sample studies and will help prevent questionable billing practices. That's the word from the Centers for Medicare and Medicaid Services, after issuing its final rule Tuesday establishing a prior authorization process for certain durable medical equipment, prosthetics, orthotics and supplies.
Two professional organizations representing emergency doctors warn that a new federal rule could lead to higher out-of-pocket costs for consumers when they need emergency care outside their health plan's network of providers. But consumer advocates and health policy experts say the groups' proposed solution doesn't adequately protect consumers.
The prices hospitals negotiate with private insurers vary considerably across geographies, according to a new study by the Health Care Pricing Project, driving huge variations in health care spending for the privately insured.
A new survey of hospital and health system senior executives by by Kaufman Hall found that while 96 percent of healthcare organizations say understanding patient needs is important, only 13 percent really understands what those needs are.
As hospital finance execs work to navigate pricing pressures, transitions in patient coverage and new competitors, The Advisory Board said leaders are facing several mandates to change or risk losing a lot of money.