Tag: Revenue Cycle Management

New Provider Relief Fund Rules Give More Time to Use, Report Money

New Provider Relief Fund Rules Give More Time to Use, Report Money

HHS recently updated Provider Relief Fund reporting requirements, extending the period of availability of funds and reporting periods. The update to the Post-Payment Notice of Reporting Requirements states that clinicians now have a period of availability of funds based on the date they received the payment, rather than the original deadline of June 30, 2021. […]
Emergency physicians call United healthcare’s ED denial Policy ‘Dangerous’

Emergency physicians call United healthcare’s ED denial Policy ‘Dangerous’

The American College of Emergency Physicians said that it “firmly believes that the new policy is in direct violation of the federal Prudent Layperson Standard.” Calling it a “dangerous decision” and a “scare tactic,” the American College of Emergency Physicians (ACEP) is condemning UnitedHealthcare’s recent announcement to retroactively deny emergency care claims. “ACEP firmly believes […]
Biden Requests $133.7B for HHS Budget, Other Health Spending Plans

Biden Requests $133.7B for HHS Budget, Other Health Spending Plans

  President Joe Biden has requested an increase in the HHS budget next year to strengthen public health infrastructure and crisis-related needs, among other top health spending proposals. The president’s budget for fiscal year (FY) 2022—Biden’s first since taking office—requests a total of $6 trillion. Of that, the president requested $133.7 billion for the HHS […]
Physician Compensation Plateaus Despite Pandemic Losses

Physician Compensation Plateaus Despite Pandemic Losses

Despite a fiscally challenging year for the healthcare industry, physician compensation for most specialties has remained the same or has slightly increased, a new report from the Medical Group Management Association (MGMA) reveals. However, most specialties showed an overall decrease in productivity in 2020. The report utilized data from 185,000 providers spanning over 6,700 organizations, […]
Advanced Technology Will Help Drive Reimbursement Change (1)

Advanced Technology Will Help Drive Reimbursement Change

  An industry through leader recaps current challenges to traditional reimbursement models for Medical Economics®. Limited by the slow pace of change in traditional reimbursement models, shifts in the paradigm for patient care have also lagged far behind the possibilities created by transformative technology. The COVID-19 pandemic has changed that, catalyzing improvements in reimbursement by […]
Proactive Strategies for Reducing Mid-Revenue Cycle Leakage

Proactive Strategies for Reducing Mid-Revenue Cycle Leakage

Educated guesses and imprecise, stopgap efforts aren’t enough. Revenue cycles need precise strategies to identify exactly where leakage occurs and implement solid processes to stop leakage before it starts. Even before COVID-19, 250-bed hospitals lost $4.7–$11 million a year from mid–revenue cycle leakage. Now, pandemic-fueled volume losses and razor-thin margins mean that hospitals can no […]