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Revenue Cycle
3 Can’t Miss Stories on 2024 Code Set, SDOH Data Capture for Rev Leaders
The latest code sets include Spanish-language descriptors and streamlines SDOH data capture.
Revenue Cycle
Heavy Focus Placed on the Revenue Cycle For Advocacy in 2023
Prior authorizations and price transparency will be a main focus of advocacy for 2023.
Revenue Cycle
Prior Auth Reform to Save Providers $15B
CMS' plan to streamline the prior authorization process would slash the amount of time spent chasing approvals and save providers...
Revenue Cycle
Struggling With GFEs? Revenue Cycle Leaders Will See Needed Relief
Enforcement for certain good faith estimate (GFE) provisions are being delayed.
Revenue Cycle
CMS Moves Forward with Added Prior Authorization Requirements
CMS finalized new procedures that will be subject to prior authorization in 2023.
Revenue Cycle
Best Tech in the Revenue Cycle
Revenue cycle leaders share the best technology they use to optimize the revenue cycle.
Finance
How Healthcare CFOs Can Get The Most Bang For Their Buck From Tech Investments
Greater investments in tech can help CFOs get their hospitals and health systems on track for sustainable and long-lasting financial...
Revenue Cycle
Q&A with Avera Health on Key Considerations for Implementing Rev Cycle Technology
Sarah Hartwig, patient access officer at Avera Health, discusses how the organization is improving reimbursement and advancing the patient experience...
Payer
Preventive Care May Be Free, but Follow-Up Diagnostic Tests Can Bring Big Bills
If a screening returns an abnormal result and a provider orders more testing, patients may be on the hook for...
Revenue Cycle
Leaders Say Pre-Registration, Insurance Follow-Up Largest Gaps in Rev Cycle
At the HealthLeaders Revenue Cycle Exchange, which was recently held in Louisville, Kentucky, revenue cycle leaders opened up about gaps...
Revenue Cycle
Rev Cycle Leaders: Focus on Unnecessary Medical Necessity Denials
A focus on front-end revenue cycle efficiency can help to avoid costly medical necessity denials.
Revenue Cycle
CMS Releases New Guidance on Surprise Billing, Good Faith Estimates
The agency has released further guidance for providers and patients regarding the No Surprises Act.