Billing and Collections
All but five states received a failing grade this year on the way they provide healthcare price transparency, according to a report by Catalyst for Payment Reform and the Health Care Incentives Improvement Institute.
Medicare's Trust Fund has a 12 years of solvency left and seniors are also being forced to pay more, making it a ripe time to reform today's haphazard payment system, argues Medicare's independent advisor.
The financial impact of the two midnights rule remains an open question and so is whether recovery auditors will challenge fewer claims or just shift their focus.
To compete in an increasingly consumer-centric business environment, healthcare providers must develop pricing and billing matrices that explain in detail the type of services rendered and the assigned amounts.
Despite the hassle of auto-cancellations, many home healthcare agencies find it difficult to keep track of their requests for anticipated payment.
Healthcare is one of the last bastions of consumer-unfriendly billing and pricing. As individuals start to take on more responsibility for premiums, deductibles and co-pays, they are increasingly demanding more transparency. And providers will be forced to respond.
Identifying an individual's health plan sounds pretty straightforward. Most hospitals have an eligibility system to verify a patient's coverage for a specific set of services from specific insurance companies. But as coverage expands and gets more complex, so do the pressures on hospitals.
Like all businesses offering a service, hospitals need to get paid. However, getting paid can be a costly proposition. Kyle Fetter points out four areas hospitals need to watch in order to control the costs related to billing.
Many healthcare organizations are realizing that in less than nine months, ICD-10 will be upon them. Healthcare Finance News talked to some industry experts to find out where organizations are in the run up to Oct. 1.
The ACA has ushered in a whole new world for back-office management at behavioral health centers.