Revenue CycleHouse Committee Calls for 'Swift Action' on No Surprises Act Final Rule
Lawmakers take issue with the importance of the qualifying payment amount (QPA) in the independent dispute resolution (IDR) process.
Revenue CycleA Look Back: Payment Rate Updates Take Center Stage
The 2023 OPPS and Medicare physician fee schedule final rules were top of mind in the revenue cycle this month.
Revenue CycleCMS Moves Forward with Added Prior Authorization Requirements
CMS finalized new procedures that will be subject to prior authorization in 2023.
Revenue CycleNo Surprises Act Prevented 9M Surprise Bills
Research by America's Health Insurance Plans (AHIP) and the Blue Cross Blue Shield Association (BCBSA) looks at the effects of...
Revenue CycleMassachusetts Hospitals Inconsistent on Price Transparency Compliance
Seven of the 19 Commonwealth facilities surveyed did not have information on discounted cash prices.
Revenue Cycle5 Ways to Reduce No Surprises Act Burdens
The MGMA recently detailed five ways the government can help alleviate burdens from certain requirements under the No Surprises Act.
Revenue CycleROI Measurement for RCM Automation Differs by Provider
Healthcare financial leaders were asked if and when they calculate return on investment (ROI) on revenue cycle management (RCM) automation.
PayerRegence, MultiCare Implement Nation's First FHIR-Driven Prior Authorization Standard
"Bringing pre-authorization to the point of care" reduces burden across stakeholders, notes one Regence executive.
Revenue CycleQuality, Revenue Impacts Loom as Patients Now Have a Clear Look Behind the Revenue Cycle Curtain
Patients are now required access to medical records and information regarding enrollment, payment, and claims adjudication, adding stress to revenue...
PayerHospital-Payer Experience Worsening Due to Insurer Practices That Delay Care
The American Hospital Association (AHA) finds administrative policies are increasingly overburdening providers.
Revenue CycleUnexpected troubles hit large medical billing firm R1 RCM, part-owned by Ascension
The stock price of R1 RCM tanked by roughly 50% this week after the large medical billing and collections company...
Revenue CycleRev Cycle Reporting of COVID-19 Codes Are Paving the Way for Research
The spotlight is on your revenue cycle's coding team as COVID-19 reporting sheds light on a multitude of post-acute conditions...