Alexandra Wilson Pecci is an editor for HealthLeaders.
A CMS grant will help seven healthcare organizations develop quality measures for the Medicare Quality Payment Program.
Surprise medical bills prompt more patient calls to the business office, a new survey shows.
A lack of OON benefits leads to never-ending financial obligations for patients and a greater likelihood of bad debt for providers.
A new claims payment pilot focuses on giving consumers a retail-like payment experience, while reducing the burdensome administrative costs of billing.
When claim denials result from factors like ineligible members and untimely filing, there's often little to argue. Medical necessity, though, is more of a gray area.
Giving patients the capability to pay for healthcare up front is typically hamstrung by the claims process. OODA Health aims to change that.
A large majority of survey respondents, 72%, said there is no connection between the cost and quality of medical services.
The health system has digitally streamlined its patient financial experience, allowing patients to consolidate, view, and pay all of their Intermountain bills from a single electronic location.
Hospitals that fully outsource their revenue cycle exhibit higher denial rates and higher final denial write-offs.
When asked which groups are most responsible for surprise medical bills, 82% said hospitals were 'very' or 'somewhat' responsible.