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  • Strategies for Physician Engagement and Alignment
    related costs and accounts receivable levels increase If increasing collection yield and reducing costs are a priority for your organization the metrics outlined in this presentation will provide the framework you need to understand what s working and what s not in order to guide your overall patient financial engagement initiatives and optimize results HFMA Business Profiles Accretive Health Partners with Providers to Excel in a Rapidly Transforming Revenue Cycle Environment Emad Rizk MD president and CEO of Accretive Health discusses the uncertainty facing hospitals and the transitions affecting revenue cycle management HFMA RESOURCE LIBRARY 10 Ways to Reduce Patient Statement Volume and Reduce Costs No two patients are the same Each has a very personal healthcare experience and each has distinct financial needs and preferences that have an impact on how when and if they chose to pay their healthcare bill It s no longer effective to apply static billing techniques to solve the complex challenge of collecting balances from patients The need to tailor financial conversations and payment options to individual needs and preferences is critical This presentation provides 10 recommendations that will not only help you improve payment performance through a more tailored approach but take control of rising collection costs HFMA Business Profiles Conifer Health Solutions Helping Providers and Employers Build a Foundation for Better Health Jim Bohnsack vice president solution corporate development for Conifer Health Solutions explains how the company helps healthcare providers leverage data to deliver better outcomes while optimizing reimbursement for all payment arrangements HFMA RESOURCE LIBRARY Reduce Patient Balances Sent to Collection Agencies Approaching New Problems with New Approaches This white paper written by Apex Vice President of Solutions and Services Carrie Romandine discusses the importance of patient segmentation and messaging specifically related to the patient revenue cycle Applying strategic messaging that is tailored to each patient type will not only better educate consumers on payment options specific to their billing needs but it will maximize the amount collected before sending to collections Further targeted messaging should be applied across all points of patient interaction i e point of service customer service patient statements and analyzed regularly for maximized results HFMA Business Profiles Ontario Systems Optimizing Accounts Receivable in a Rapidly Changing Environment Steve Scibetta senior director of channel sales for Ontario Systems healthcare product line shares insights into effectively managing receivables HFMA RESOURCE LIBRARY The Future of Online Patient Billing Portals This white paper written by Apex President Patrick Maurer discusses methods to increase patient adoption of online payments Providers are now seeking ways to incrementally collect more payments due from patients as well as speeding up the rate of collections This white paper shows why patient centric approaches to online payment portals are important complements to traditional provider centric approaches HFMA Business Profiles Optum Enabling Transformative Change Elena White vice president of risk quality and network solutions for Optum discusses how healthcare providers can leverage data and technology as they enable risk in their organization HFMA RESOURCE LIBRARY Payment Portals

    Original URL path: https://www.hfma.org/valuephysicians/ (2016-02-10)
    Open archived version from archive


  • HFMA's Patient Financial Communications Training Program
    high deductible plans uninsured patients Discover when and how best to communicate including on the phone in the emergency department and in non emergency situations Get tools for explaining key terms handling questions and comments and helping patients understand and meet their financial obligations HFMA s Patient Financial Communications Training Program offers benefits for both providers and patients Benefits for Providers Helps surface any financial concerns that patients may have early on Reduces bad debt by facilitating insurance enrollment and applications for financial assistance Provides constructive pathways for resolving medical accounts Increases patient and employee satisfaction Benefits for Patients Helps patients understand their financial responsibility Engages patients in the process Promotes patient satisfaction Benefits for Staff Team Complete training solution Online self paced learning modules Tools can be customized to your organization Administrator can assign modules and tools Scalable to the size of your team train any number A complete training solution for sensitive financial conversations Across care settings Advance of service time of service and emergency department When to approach patients How to handle different patient scenarios questions Verbal and nonverbal communication Regulatory issues Dos and don ts for managing sensitive conversations For trainers Complete online toolkit User Guide covers the big picture Training slide deck easily customized to your setting Sample financial policies you can adapt to your institution Coaching and mentoring guide for supervisors For staff Scenario based lessons to work at their own pace Self assessments to guide progress Comprehensive online resources available 24 7 for on the job reference Job aids for quick access The complete Patient Financial Communications Training Program is available for purchase by organizations directly from HFMA The program can be used to train any number of learners The more learners who participate the more your organization can save Pricing Up to 10 learners 1 500 11 25 learners 3 250 26 50 learners 5 500 For more than 50 learners please contact the PFC Education Team for a quote To schedule a demo or place an order please contact the PFC Education Team Advertisements HFMA Business Profiles McKesson Leveraging Predictive Analytics to Rein in Operating Costs A leader from McKesson discusses how healthcare reform is forcing hospitals and health systems to take a different approach to capacity management and patient flow HFMA RESOURCE LIBRARY 6 Patient Revenue Cycle Metrics You Should Be Tracking and How to Improve Your Results Patient financial engagement is more challenging than ever and more critical With patient responsibility as a percentage of revenue on the rise providers have seen their billing related costs and accounts receivable levels increase If increasing collection yield and reducing costs are a priority for your organization the metrics outlined in this presentation will provide the framework you need to understand what s working and what s not in order to guide your overall patient financial engagement initiatives and optimize results HFMA Business Profiles Accretive Health Partners with Providers to Excel in a Rapidly Transforming Revenue Cycle Environment Emad Rizk MD president and CEO of Accretive Health discusses the uncertainty facing hospitals and the transitions affecting revenue cycle management HFMA RESOURCE LIBRARY 10 Ways to Reduce Patient Statement Volume and Reduce Costs No two patients are the same Each has a very personal healthcare experience and each has distinct financial needs and preferences that have an impact on how when and if they chose to pay their healthcare bill It s no longer effective to apply static billing techniques to solve the complex challenge of collecting balances from patients The need to tailor financial conversations and payment options to individual needs and preferences is critical This presentation provides 10 recommendations that will not only help you improve payment performance through a more tailored approach but take control of rising collection costs HFMA Business Profiles Conifer Health Solutions Helping Providers and Employers Build a Foundation for Better Health Jim Bohnsack vice president solution corporate development for Conifer Health Solutions explains how the company helps healthcare providers leverage data to deliver better outcomes while optimizing reimbursement for all payment arrangements HFMA RESOURCE LIBRARY Reduce Patient Balances Sent to Collection Agencies Approaching New Problems with New Approaches This white paper written by Apex Vice President of Solutions and Services Carrie Romandine discusses the importance of patient segmentation and messaging specifically related to the patient revenue cycle Applying strategic messaging that is tailored to each patient type will not only better educate consumers on payment options specific to their billing needs but it will maximize the amount collected before sending to collections Further targeted messaging should be applied across all points of patient interaction i e point of service customer service patient statements and analyzed regularly for maximized results HFMA Business Profiles Ontario Systems Optimizing Accounts Receivable in a Rapidly Changing Environment Steve Scibetta senior director of channel sales for Ontario Systems healthcare product line shares insights into effectively managing receivables HFMA RESOURCE LIBRARY The Future of Online Patient Billing Portals This white paper written by Apex President Patrick Maurer discusses methods to increase patient adoption of online payments Providers are now seeking ways to incrementally collect more payments due from patients as well as speeding up the rate of collections This white paper shows why patient centric approaches to online payment portals are important complements to traditional provider centric approaches HFMA Business Profiles Optum Enabling Transformative Change Elena White vice president of risk quality and network solutions for Optum discusses how healthcare providers can leverage data and technology as they enable risk in their organization HFMA RESOURCE LIBRARY Payment Portals Can Improve Self Pay Collections and Support Meaningful Use Increased electronic engagement between healthcare providers and patients provides significant opportunities for improving revenue cycle metrics and encouraging patients to access EHRs This article written by Apex Founder and CEO Brian Kueppers explores a number of strategies to create synergy between patient billing online payment portals and electronic health record EHR software to realize a high ROI in speed to payment patient satisfaction and portal adoption

    Original URL path: http://www.hfma.org/pfcprogram/ (2016-02-10)
    Open archived version from archive

  • Patient Friendly Billing Project
    patient flow HFMA RESOURCE LIBRARY 6 Patient Revenue Cycle Metrics You Should Be Tracking and How to Improve Your Results Patient financial engagement is more challenging than ever and more critical With patient responsibility as a percentage of revenue on the rise providers have seen their billing related costs and accounts receivable levels increase If increasing collection yield and reducing costs are a priority for your organization the metrics outlined in this presentation will provide the framework you need to understand what s working and what s not in order to guide your overall patient financial engagement initiatives and optimize results HFMA Business Profiles Accretive Health Partners with Providers to Excel in a Rapidly Transforming Revenue Cycle Environment Emad Rizk MD president and CEO of Accretive Health discusses the uncertainty facing hospitals and the transitions affecting revenue cycle management HFMA RESOURCE LIBRARY 10 Ways to Reduce Patient Statement Volume and Reduce Costs No two patients are the same Each has a very personal healthcare experience and each has distinct financial needs and preferences that have an impact on how when and if they chose to pay their healthcare bill It s no longer effective to apply static billing techniques to solve the complex challenge of collecting balances from patients The need to tailor financial conversations and payment options to individual needs and preferences is critical This presentation provides 10 recommendations that will not only help you improve payment performance through a more tailored approach but take control of rising collection costs HFMA Business Profiles Conifer Health Solutions Helping Providers and Employers Build a Foundation for Better Health Jim Bohnsack vice president solution corporate development for Conifer Health Solutions explains how the company helps healthcare providers leverage data to deliver better outcomes while optimizing reimbursement for all payment arrangements HFMA RESOURCE LIBRARY Reduce Patient Balances Sent to Collection Agencies Approaching New Problems with New Approaches This white paper written by Apex Vice President of Solutions and Services Carrie Romandine discusses the importance of patient segmentation and messaging specifically related to the patient revenue cycle Applying strategic messaging that is tailored to each patient type will not only better educate consumers on payment options specific to their billing needs but it will maximize the amount collected before sending to collections Further targeted messaging should be applied across all points of patient interaction i e point of service customer service patient statements and analyzed regularly for maximized results HFMA Business Profiles Ontario Systems Optimizing Accounts Receivable in a Rapidly Changing Environment Steve Scibetta senior director of channel sales for Ontario Systems healthcare product line shares insights into effectively managing receivables HFMA RESOURCE LIBRARY The Future of Online Patient Billing Portals This white paper written by Apex President Patrick Maurer discusses methods to increase patient adoption of online payments Providers are now seeking ways to incrementally collect more payments due from patients as well as speeding up the rate of collections This white paper shows why patient centric approaches to online payment portals are

    Original URL path: http://www.hfma.org/Content.aspx?id=1030 (2016-02-10)
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  • About the Value Project
    key capabilities should healthcare provider organizations develop to prepare for a value driven future Find the answers in HFMA s Value Project Phase 1 reports and web tool View Phase 1 Resources BACK TO PAGINATION HFMA s Value Project helps healthcare organizations create value for the multiple purchasers of health care The transformation toward a value based healthcare system is reshaping the delivery of care patient expectations and payment structures In the resources HFMA has produced for the Value Project healthcare finance leaders and clinical partners come together to Define the practices of providers who are leading the way toward a value based healthcare system Describe the primary capabilities that healthcare organizations will need to develop in the areas of people and culture business intelligence performance improvement and contract and risk management to improve the value of care provided Provide specific strategies tactics and tools that healthcare organizations can use to build enhance and communicate their value capabilities Identify the trends today that are defining the future state of value in health care and describe new care delivery models that could help healthcare organizations create value Value Project Resources Phase 3 HFMA s Value Project looks at the new wave of acquisition and affiliation activity in health care defining the drivers of this activity options for value focused affiliations and key legal and regulatory issues View Phase 3 Resources Phase 2 What are healthcare purchasers expecting in terms of value and how are provider organizations working to deliver value How does the business model for value differ for different types of hospitals and health systems See how leading provider organizations are answering these questions in resources from Value Project Phase 2 View Phase 2 Resources Phase 1 What is the value equation from the purchaser s perspective and what key capabilities should healthcare provider organizations develop to prepare for a value driven future Find the answers in HFMA s Value Project Phase 1 reports and web tool View Phase 1 Resources Please login to add your comments Sponsored by Meet the Value Advisory Group Sponsored by Meet the Value Advisory Group HFMA Business Profiles McKesson Leveraging Predictive Analytics to Rein in Operating Costs A leader from McKesson discusses how healthcare reform is forcing hospitals and health systems to take a different approach to capacity management and patient flow HFMA RESOURCE LIBRARY 6 Patient Revenue Cycle Metrics You Should Be Tracking and How to Improve Your Results Patient financial engagement is more challenging than ever and more critical With patient responsibility as a percentage of revenue on the rise providers have seen their billing related costs and accounts receivable levels increase If increasing collection yield and reducing costs are a priority for your organization the metrics outlined in this presentation will provide the framework you need to understand what s working and what s not in order to guide your overall patient financial engagement initiatives and optimize results HFMA Business Profiles Accretive Health Partners with Providers to Excel in a Rapidly Transforming Revenue Cycle Environment Emad Rizk MD president and CEO of Accretive Health discusses the uncertainty facing hospitals and the transitions affecting revenue cycle management HFMA RESOURCE LIBRARY 10 Ways to Reduce Patient Statement Volume and Reduce Costs No two patients are the same Each has a very personal healthcare experience and each has distinct financial needs and preferences that have an impact on how when and if they chose to pay their healthcare bill It s no longer effective to apply static billing techniques to solve the complex challenge of collecting balances from patients The need to tailor financial conversations and payment options to individual needs and preferences is critical This presentation provides 10 recommendations that will not only help you improve payment performance through a more tailored approach but take control of rising collection costs HFMA Business Profiles Conifer Health Solutions Helping Providers and Employers Build a Foundation for Better Health Jim Bohnsack vice president solution corporate development for Conifer Health Solutions explains how the company helps healthcare providers leverage data to deliver better outcomes while optimizing reimbursement for all payment arrangements HFMA RESOURCE LIBRARY Reduce Patient Balances Sent to Collection Agencies Approaching New Problems with New Approaches This white paper written by Apex Vice President of Solutions and Services Carrie Romandine discusses the importance of patient segmentation and messaging specifically related to the patient revenue cycle Applying strategic messaging that is tailored to each patient type will not only better educate consumers on payment options specific to their billing needs but it will maximize the amount collected before sending to collections Further targeted messaging should be applied across all points of patient interaction i e point of service customer service patient statements and analyzed regularly for maximized results HFMA Business Profiles Ontario Systems Optimizing Accounts Receivable in a Rapidly Changing Environment Steve Scibetta senior director of channel sales for Ontario Systems healthcare product line shares insights into effectively managing receivables HFMA RESOURCE LIBRARY The Future of Online Patient Billing Portals This white paper written by Apex President Patrick Maurer discusses methods to increase patient adoption of online payments Providers are now seeking ways to incrementally collect more payments due from patients as well as speeding up the rate of collections This white paper shows why patient centric approaches to online payment portals are important complements to traditional provider centric approaches HFMA Business Profiles Optum Enabling Transformative Change Elena White vice president of risk quality and network solutions for Optum discusses how healthcare providers can leverage data and technology as they enable risk in their organization HFMA RESOURCE LIBRARY Payment Portals Can Improve Self Pay Collections and Support Meaningful Use Increased electronic engagement between healthcare providers and patients provides significant opportunities for improving revenue cycle metrics and encouraging patients to access EHRs This article written by Apex Founder and CEO Brian Kueppers explores a number of strategies to create synergy between patient billing online payment portals and electronic health record EHR software to realize a high ROI in

    Original URL path: http://www.hfma.org/Content.aspx?id=1135 (2016-02-10)
    Open archived version from archive

  • Healthcare Payment Reform
    will need to succeed under reform The initiative s findings and recommendations are summarized in these white papers Healthcare Payment Reform From Principles to Action Healthcare Payment Reform A Call to Action Healthcare Payment Reform Accelerating Success Integration in a Reform Environment Strategies for Success BACK TO PAGINATION The Affordable Care Act HFMA Summary of Key Provisions in Healthcare Reform Legislation On March 30 2010 President Obama signed the Health Care and Education Reconciliation Act of 2010 the final piece in Congress s healthcare reform legislative package This summary highlights key provisions of the healthcare reform legislation that impact providers The Commonwealth Fund s Health Reform Resource Center provides a timeline and summary of key provisions in the Affordable Care Act Payment Care Delivery Reform Initiatives Pursuing Bundled Payments Lessons from the ACE Demonstration Participants in CMS s ACE demonstration project share strategies and tactics for participating in bundled payment initiatives ACO Final Rule Executive Summary and Section Highlights This document provides a summary of CMS s shared savings program final rule and highlights the rule s changes by section Pioneer ACO Model This document provides noteworthy highlights of what the Pioneer ACO Model is and details of shared savings options This HFMA Compendium Bundled Payments An Opportunity Worth Pursuing brings together a group of recent articles from HFMA publications exploring potential benefits and risks in bundled payments as well as strategies and tips for organizations that decide to pursue bundled payment opportunities Tools Physician Relationships This HFMA Roundtable Investing for a Changing Physician Role explores ways hospitals are changing their relationships with physicians to support value based care and how today s changing physician role is affecting capital planning priorities and processes Readmission Reduction Program Tool Use a tool developed by CBIZ KA Consulting Services LLC that allows organizations to see how their facility is affected by the Readmission Reduction Program Charity Care and Community Benefit Health reform legislation places new community benefit and financial assistance requirements on tax exempt providers Financial Assistance Policies of Charitable Hospitals Sample 501 c 3 Hospital Charity Care and Financial Assistance Policy and Procedures CMS Shared Savings Loss Calculator This spreadsheet based on the CMS final shared savings rule can be used to calculate potential shared savings losses from forming a Medicare ACO HFMA s Payment Reform Project White Papers HFMA has led a payment reform thought leadership initiative to identify the principles that should guide changes to the current healthcare payment system and the competencies that providers will need to succeed under reform The initiative s findings and recommendations are summarized in these white papers Healthcare Payment Reform From Principles to Action Healthcare Payment Reform A Call to Action Healthcare Payment Reform Accelerating Success Integration in a Reform Environment Strategies for Success Please login to add your comments Advertisements HFMA Business Profiles McKesson Leveraging Predictive Analytics to Rein in Operating Costs A leader from McKesson discusses how healthcare reform is forcing hospitals and health systems to take a different approach to capacity management and patient flow HFMA RESOURCE LIBRARY 6 Patient Revenue Cycle Metrics You Should Be Tracking and How to Improve Your Results Patient financial engagement is more challenging than ever and more critical With patient responsibility as a percentage of revenue on the rise providers have seen their billing related costs and accounts receivable levels increase If increasing collection yield and reducing costs are a priority for your organization the metrics outlined in this presentation will provide the framework you need to understand what s working and what s not in order to guide your overall patient financial engagement initiatives and optimize results HFMA Business Profiles Accretive Health Partners with Providers to Excel in a Rapidly Transforming Revenue Cycle Environment Emad Rizk MD president and CEO of Accretive Health discusses the uncertainty facing hospitals and the transitions affecting revenue cycle management HFMA RESOURCE LIBRARY 10 Ways to Reduce Patient Statement Volume and Reduce Costs No two patients are the same Each has a very personal healthcare experience and each has distinct financial needs and preferences that have an impact on how when and if they chose to pay their healthcare bill It s no longer effective to apply static billing techniques to solve the complex challenge of collecting balances from patients The need to tailor financial conversations and payment options to individual needs and preferences is critical This presentation provides 10 recommendations that will not only help you improve payment performance through a more tailored approach but take control of rising collection costs HFMA Business Profiles Conifer Health Solutions Helping Providers and Employers Build a Foundation for Better Health Jim Bohnsack vice president solution corporate development for Conifer Health Solutions explains how the company helps healthcare providers leverage data to deliver better outcomes while optimizing reimbursement for all payment arrangements HFMA RESOURCE LIBRARY Reduce Patient Balances Sent to Collection Agencies Approaching New Problems with New Approaches This white paper written by Apex Vice President of Solutions and Services Carrie Romandine discusses the importance of patient segmentation and messaging specifically related to the patient revenue cycle Applying strategic messaging that is tailored to each patient type will not only better educate consumers on payment options specific to their billing needs but it will maximize the amount collected before sending to collections Further targeted messaging should be applied across all points of patient interaction i e point of service customer service patient statements and analyzed regularly for maximized results HFMA Business Profiles Ontario Systems Optimizing Accounts Receivable in a Rapidly Changing Environment Steve Scibetta senior director of channel sales for Ontario Systems healthcare product line shares insights into effectively managing receivables HFMA RESOURCE LIBRARY The Future of Online Patient Billing Portals This white paper written by Apex President Patrick Maurer discusses methods to increase patient adoption of online payments Providers are now seeking ways to incrementally collect more payments due from patients as well as speeding up the rate of collections This white paper shows why patient centric approaches to online payment

    Original URL path: http://www.hfma.org/Content.aspx?id=1012 (2016-02-10)
    Open archived version from archive

  • About Patient Friendly Billing
    philosophy The needs of patients and family members should be paramount when designing administrative processes and communications Information gathering should be coordinated with other providers and insurers and this collection process should be done efficiently privately and with as little duplication as possible When possible communication of financial information should not occur during the medical encounter The average reader should easily understand the language and format of financial communications Continuous improvement of the billing process should be made by implementing better practices and incorporating feedback from patients and consumers Patient Friendly Billing is a proprietary trademark of Healthcare Financial Management Association Copyright 2016 Healthcare Financial Management Association all rights reserved BACK TO PAGINATION Purpose Philosophy After conducting extensive research and focus groups among patients and healthcare providers the consensus was clear Patient billing is a significant problem for patients and providers Consumers want a healthcare financial communications process that is clear concise correct and patient friendly Clear All financial communications should be easy to understand and written in clear language Patients should be able to quickly determine what they need to do with the communication Concise The bills should contain just the right amount of detail necessary to communicate the message Correct The bills or statements should not include estimates of liabilities incomplete information or errors Patient Friendly The needs of patients and family members should be paramount when designing administrative processes and communications Patient Friendly Billing is based on the following philosophy The needs of patients and family members should be paramount when designing administrative processes and communications Information gathering should be coordinated with other providers and insurers and this collection process should be done efficiently privately and with as little duplication as possible When possible communication of financial information should not occur during the medical encounter The average reader should easily understand the language and format of financial communications Continuous improvement of the billing process should be made by implementing better practices and incorporating feedback from patients and consumers Patient Friendly Billing is a proprietary trademark of Healthcare Financial Management Association Copyright 2016 Healthcare Financial Management Association all rights reserved Please login to add your comments Advertisements HFMA Business Profiles McKesson Leveraging Predictive Analytics to Rein in Operating Costs A leader from McKesson discusses how healthcare reform is forcing hospitals and health systems to take a different approach to capacity management and patient flow HFMA RESOURCE LIBRARY 6 Patient Revenue Cycle Metrics You Should Be Tracking and How to Improve Your Results Patient financial engagement is more challenging than ever and more critical With patient responsibility as a percentage of revenue on the rise providers have seen their billing related costs and accounts receivable levels increase If increasing collection yield and reducing costs are a priority for your organization the metrics outlined in this presentation will provide the framework you need to understand what s working and what s not in order to guide your overall patient financial engagement initiatives and optimize results HFMA Business Profiles Accretive Health Partners with Providers to Excel in a Rapidly Transforming Revenue Cycle Environment Emad Rizk MD president and CEO of Accretive Health discusses the uncertainty facing hospitals and the transitions affecting revenue cycle management HFMA RESOURCE LIBRARY 10 Ways to Reduce Patient Statement Volume and Reduce Costs No two patients are the same Each has a very personal healthcare experience and each has distinct financial needs and preferences that have an impact on how when and if they chose to pay their healthcare bill It s no longer effective to apply static billing techniques to solve the complex challenge of collecting balances from patients The need to tailor financial conversations and payment options to individual needs and preferences is critical This presentation provides 10 recommendations that will not only help you improve payment performance through a more tailored approach but take control of rising collection costs HFMA Business Profiles Conifer Health Solutions Helping Providers and Employers Build a Foundation for Better Health Jim Bohnsack vice president solution corporate development for Conifer Health Solutions explains how the company helps healthcare providers leverage data to deliver better outcomes while optimizing reimbursement for all payment arrangements HFMA RESOURCE LIBRARY Reduce Patient Balances Sent to Collection Agencies Approaching New Problems with New Approaches This white paper written by Apex Vice President of Solutions and Services Carrie Romandine discusses the importance of patient segmentation and messaging specifically related to the patient revenue cycle Applying strategic messaging that is tailored to each patient type will not only better educate consumers on payment options specific to their billing needs but it will maximize the amount collected before sending to collections Further targeted messaging should be applied across all points of patient interaction i e point of service customer service patient statements and analyzed regularly for maximized results HFMA Business Profiles Ontario Systems Optimizing Accounts Receivable in a Rapidly Changing Environment Steve Scibetta senior director of channel sales for Ontario Systems healthcare product line shares insights into effectively managing receivables HFMA RESOURCE LIBRARY The Future of Online Patient Billing Portals This white paper written by Apex President Patrick Maurer discusses methods to increase patient adoption of online payments Providers are now seeking ways to incrementally collect more payments due from patients as well as speeding up the rate of collections This white paper shows why patient centric approaches to online payment portals are important complements to traditional provider centric approaches HFMA Business Profiles Optum Enabling Transformative Change Elena White vice president of risk quality and network solutions for Optum discusses how healthcare providers can leverage data and technology as they enable risk in their organization HFMA RESOURCE LIBRARY Payment Portals Can Improve Self Pay Collections and Support Meaningful Use Increased electronic engagement between healthcare providers and patients provides significant opportunities for improving revenue cycle metrics and encouraging patients to access EHRs This article written by Apex Founder and CEO Brian Kueppers explores a number of strategies to create synergy between patient billing online payment portals and electronic health record

    Original URL path: http://www.hfma.org/Content.aspx?id=1033 (2016-02-10)
    Open archived version from archive

  • Patient Friendly Billing Resources
    coding and other revenue cycle issues Revenue Cycle Forum Where revenue cycle professionals share ideas network and find expert insight Patient Friendly Billing is a proprietary trademark of Healthcare Financial Management Association Copyright 2016 Healthcare Financial Management Association all rights reserved BACK TO PAGINATION Here is an extensive list of patient friendly billing reports analysis tools case studies and related information Case Studies in Customer Service How high performing customer service drives patient satisfaction and financial success Developing a Culture of Revenue Cycle Excellence Five key strategies for building a culture of revenue cycle excellence Project Reports Reconstructing Hospital Pricing Systems An overview of the hospital pricing system its evolution and the objectives driving pricing system reform Consumerism in Health Care Achieve a Consumer Oriented Revenue Cycle The goals roles and responsibilities inherent with consumerism the effect on revenue cycle and strategies for success Strategies for a High Performance Revenue Cycle Ready to use ideas and critical practices for implementing and achieving revenue cycle excellence Patient Friendly Billing Recommended Practice Early Transparent Financial Communications Addresses patients rights to understand and prepare for their financial obligation at the earliest point possible in the care experience Hospitals Share Insights to Improve Financial Policies for Uninsured and Underinsured Patients Examines discounting and collection practices for patients with limited ability to pay and provides action steps health systems can follow to help patients Patient Friendly Billing Guidelines for improving and implementing the technology behind patient friendly billing Patient Friendly Billing Step by step strategies for implementing patient friendly billing recommendations for improving revenue cycle and essential components of patient friendly billing statements Patient Friendly Billing Year One A summary of findings based on patient focus group research and recommendations by the first task force Additional Resources Strategies for a High Performance Revenue Cycle A slide deck highlighting research findings around revenue cycle key competencies Breaking the Wicked Healthcare Barriers Proceedings from an HFMA Revenue Cycle Conference keynote session on building a positive patient experience through effective strategies and communications Patient Communication and Education Tools Sample patient education brochures consolidated billing statements financial responsibilities and more Case Studies How hospitals and health systems achieve meaningful price transparency and work with patients on setting payment expectations and terms Pricing Tools A set of resources containing solutions for pricing transparency patient price quotes focus group moderation and more More Revenue Cycle Resources HFMA s MAP A comprehensive strategy used by healthcare finance professionals to benchmark the success of their organization s revenue cycle Revenue Cycle Strategist An HFMA newsletter that delivers advice on denials management collections coding and other revenue cycle issues Revenue Cycle Forum Where revenue cycle professionals share ideas network and find expert insight Patient Friendly Billing is a proprietary trademark of Healthcare Financial Management Association Copyright 2016 Healthcare Financial Management Association all rights reserved Please login to add your comments Advertisements HFMA Business Profiles McKesson Leveraging Predictive Analytics to Rein in Operating Costs A leader from McKesson discusses how healthcare reform is forcing hospitals and health systems to take a different approach to capacity management and patient flow HFMA RESOURCE LIBRARY 6 Patient Revenue Cycle Metrics You Should Be Tracking and How to Improve Your Results Patient financial engagement is more challenging than ever and more critical With patient responsibility as a percentage of revenue on the rise providers have seen their billing related costs and accounts receivable levels increase If increasing collection yield and reducing costs are a priority for your organization the metrics outlined in this presentation will provide the framework you need to understand what s working and what s not in order to guide your overall patient financial engagement initiatives and optimize results HFMA Business Profiles Accretive Health Partners with Providers to Excel in a Rapidly Transforming Revenue Cycle Environment Emad Rizk MD president and CEO of Accretive Health discusses the uncertainty facing hospitals and the transitions affecting revenue cycle management HFMA RESOURCE LIBRARY 10 Ways to Reduce Patient Statement Volume and Reduce Costs No two patients are the same Each has a very personal healthcare experience and each has distinct financial needs and preferences that have an impact on how when and if they chose to pay their healthcare bill It s no longer effective to apply static billing techniques to solve the complex challenge of collecting balances from patients The need to tailor financial conversations and payment options to individual needs and preferences is critical This presentation provides 10 recommendations that will not only help you improve payment performance through a more tailored approach but take control of rising collection costs HFMA Business Profiles Conifer Health Solutions Helping Providers and Employers Build a Foundation for Better Health Jim Bohnsack vice president solution corporate development for Conifer Health Solutions explains how the company helps healthcare providers leverage data to deliver better outcomes while optimizing reimbursement for all payment arrangements HFMA RESOURCE LIBRARY Reduce Patient Balances Sent to Collection Agencies Approaching New Problems with New Approaches This white paper written by Apex Vice President of Solutions and Services Carrie Romandine discusses the importance of patient segmentation and messaging specifically related to the patient revenue cycle Applying strategic messaging that is tailored to each patient type will not only better educate consumers on payment options specific to their billing needs but it will maximize the amount collected before sending to collections Further targeted messaging should be applied across all points of patient interaction i e point of service customer service patient statements and analyzed regularly for maximized results HFMA Business Profiles Ontario Systems Optimizing Accounts Receivable in a Rapidly Changing Environment Steve Scibetta senior director of channel sales for Ontario Systems healthcare product line shares insights into effectively managing receivables HFMA RESOURCE LIBRARY The Future of Online Patient Billing Portals This white paper written by Apex President Patrick Maurer discusses methods to increase patient adoption of online payments Providers are now seeking ways to incrementally collect more payments due from patients as well as speeding up the rate of collections This

    Original URL path: http://www.hfma.org/Content.aspx?id=16579 (2016-02-10)
    Open archived version from archive

  • First ‘Next Generation’ ACOs Announced
    into alternative models that pay providers based on quality by the end of 2018 Rich Daly is a senior writer editor in HFMA s Washington D C office Follow Rich on Twitter rdalyhealthcare Publication Date Monday January 11 2016 BACK TO PAGINATION Data indicate one third of the 220 MSSP ACOs launched in 2012 and 2013 have left the program one ACO advocate noted Jan 11 Twenty one organizations are the first to launch Next Generation accountable care organizations ACOs the Centers for Medicare Medicaid Services CMS announced The Next Generation ACOs among 121 new Medicare ACOs that launched in 2016 will differ from previous ACO models by including a benchmark that is set prospectively rather than retrospectively allowing beneficiaries to choose to be assigned to the ACO and testing beneficiary incentives for seeking care from member providers according to a CMS fact sheet The new ACO model also will allow increased availability of telehealth and care coordination services Another change in the Next Generation model is that participants can take on greater financial risk up to 100 percent than in other Medicare ACOs Along with the increased financial risk is a greater opportunity to share in the model s savings through better care coordination and care management Establishing prospective budgets in advance of the performance year would allow the ACOs to plan and manage care around these financial targets from the outset Also available are flexible payment options such as infrastructure payments that support ACO investments in care The Accountable Care Coalition of Southeast Texas ACCSETX an organization of 118 providers selected as a Next Generation ACO touted the previous work of its physicians in the Medicare Shared Savings Program MSSP and with Medicare Advantage plans as providing experience for the new model The new program will give those physicians stronger financial incentives and tools to engage beneficiaries and provide care outside the customary requirements of Medicare fee for service according to a release Additionally the group touted the enhanced access that Medicare beneficiaries enrolled in the Next Generation ACO will have to skilled nursing facilities which will not require Medicare s customary three day inpatient hospital stay We are moving Medicare and the entire healthcare system toward paying providers based on the quality rather than the quantity of care they give patients U S Department of Health and Human Services Secretary Sylvia M Burwell said in a release The three new ACO initiatives being launched today mark an important step forward in this effort A Growing Program In addition to the Next Generation ACOs 100 new MSSP and Pioneer ACOs launched on Jan 1 and nearly 150 renewed their participation The increase means that about 15 000 more physicians will be participating in ACOs under the program in 2016 according to CMS The latest entries brought the number of MSSP ACOs to 434 up from 333 in 2014 The ACOs cover more than 7 7 million Medicare beneficiaries However the National Association of ACOs NAACOS was disappointed to see that the data indicated 73 of the 220 ACOs launched in 2012 and 2013 left the program We re very pleased to welcome the new ACOs and those renewing in the programs but are somewhat discouraged that about a third of the original 220 MSSP ACOs have decided to exit Clif Gaus CEO of NAACOS said in a release With the program departures and new entrants the total beneficiaries covered by CMS ACO initiatives has only slightly grown from last year Gaus noted that the current tally of 434 ACOs is about the same as the total number of newcomers announced over the previous four years The upside only one sided risk model remains by far the most popular ACO according to the new CMS data Only 22 ACOs have opted for either Track 2 or Track 3 MSSP participation which carry downside financial risk for organizations unable to meet their benchmarks About one quarter of MSSP ACOs generated shared savings in the program s third year according to CMS data released in August Including participants in the Comprehensive ESRD Care Model the latest enrollments brought the total number of ACOs to 477 64 of which are in a risk bearing track Investment Model CMS also announced that 39 MSSP ACOs also will participate in the ACO Investment Model AIM bringing the number of participants to 41 The new model will provide prepaid shared savings to encourage new ACOs to form in rural and underserved areas and to encourage existing MSSP ACOs to transition to a performance based risk arrangement The model s up front payments aim to fund improved infrastructure and redesigned care processes to provide beneficiaries with lower cost and higher quality health care These new initiatives place patients at the center of a coordinated care delivery system and give providers the tools to achieve better outcomes Patrick Conway CMS s deputy administrator for innovation and quality and chief medical officer said in a release The latest ACO developments were promoted as part of the Obama administration s effort to move 50 percent of traditional Medicare fee for service payments into alternative models that pay providers based on quality by the end of 2018 Rich Daly is a senior writer editor in HFMA s Washington D C office Follow Rich on Twitter rdalyhealthcare Publication Date Monday January 11 2016 Please login to add your comments Advertisements HFMA Business Profiles McKesson Leveraging Predictive Analytics to Rein in Operating Costs A leader from McKesson discusses how healthcare reform is forcing hospitals and health systems to take a different approach to capacity management and patient flow HFMA RESOURCE LIBRARY 6 Patient Revenue Cycle Metrics You Should Be Tracking and How to Improve Your Results Patient financial engagement is more challenging than ever and more critical With patient responsibility as a percentage of revenue on the rise providers have seen their billing related costs and accounts receivable levels increase If increasing collection yield and reducing costs are a priority for your

    Original URL path: http://www.hfma.org/Content.aspx?id=45695 (2016-02-10)
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