revenue cycle

Weekend Reading: September 30, 2022

Patients face numerous barriers in accessing care, from those grounded in financial difficulty, to societal inequalities restricting access to high quality, affordable care. This week we highlight a number of articles which focus on patient access, barriers to care, and potential solutions to the surging cost for patients. The 2022 Medical Group Management Association’s DataDive

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Impact of Transparency Legislation & Trends on Patient Financial Services

Over the past several years, a number of important pieces of government legislation have been aimed at increasing the level of transparency related to the cost of healthcare in the United States, in response to concerns from citizens and government officials surrounding the cost of care. From the Hospital Price Transparency Final Rule, which came

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Elevated Administrative Burdens in Patient Financial Services & Revenue Cycle

As the US healthcare system continues to evolve from a fee-for-service model towards value-based care models, patients and providers are facing new and different challenges in working both with each other, as well as with payers, to secure payment for healthcare. Hospitals in particular are facing greater administrative burdens, including planning and executing modifications to

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Eligibility Verification & Prior Authorization to Reduce Denials & Payment Delays

The importance of accuracy in patient registration, insurance eligibility verification, and securing of prior authorization cannot be understated in today’s environment of escalating denials and payment delays, with recent surveys including one by Change Healthcare indicating that nearly a quarter of denials stem from errors or inaccuracies in patient registration and eligibility verification. As patients

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