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    Who s Behind the Industry s Standard Revenue Cycle Metrics HFMA convened a team of industry experts to examine various KPIs and other definition sources for completeness validity and relevancy Meet the MAP Keys Task Force HFMA s MAP App HFMA s MAP App Get on the MAP App HFMA s MAP App is a web based application that helps organizations track results compare data with peers and improve revenue cycle performance Schedule a demo Self Assessment Financial Counseling Use this self assessment tool to ensure that you have key processes covered and check your performance measures against better practice target levels Archives PATIENT FRIENDLY BILLING provides practical how to strategies for improving patient financial communications and creating a more patient friendly revenue cycle Patient Friendly Billing E Bulletin Sept 2012 Patient Friendly Billing provides practical how to strategies for improving patient financial communications and creating a more patient friendly revenue cycle Patient Friendly Billing e Bulletin Patient Friendly Billing provides practical how to strategies for improving patient financial communications and creating a more patient friendly revenue cycle Using HFMA s MAP Keys to Improve Physician Practice Performance This on demand webinar features HFMA s new MAP Keys for Physician Practice Management and highlights how you can use them to improve performance and hone your business strategy Driving Improvement in the Physician Practice Revenue Cycle Several hospital executives share strategies and concerns for effectively managing the physician practice revenue cycle including managing documentation and charge lag Self Assessment Collections Use this self assessment tool to ensure that you have key processes covered and check your performance measures against better practice target levels Self Assessment Charge Entry and Protection Use this self assessment tool to ensure that you have key processes covered and check your performance measures against better practice target levels Self Assessment Billing and Claims Submission Use this self assessment tool to ensure that you have key processes covered and check your performance measures against better practice target levels Self Assessment Health Information Management Use this self assessment tool to ensure that you have key processes covered and check your performance measures against better practice target levels Self Assessment Scheduling Use this self assessment tool to ensure that you have key processes covered and check your performance measures against better practice target levels Self Assessment Preregistration and Preauthorization Use this self assessment tool to ensure that you have key processes covered and check your performance measures against better practice target levels Kevin Lockett A Discussion on Fundamental Revenue Cycle Metrics Kevin Lockett discusses fundamental revenue cycle metrics to watch when managing a physician practice Hancock HFMA AAPL Summit January 2015 NN Evolving Payment Methods Page 1 of 2 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

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    from a variety of sources including the U S postal service address database reduces returned mail It also enhances our ability to contact our patients after discharge says Patrick McDermott senior vice Certified Specialist Physician Practice Management CSPPM Explore best practices for hospital physician practice alignment to excel in a value based payment and population health management structure 6 Essential Elements for Physician Revenue Cycle Management Physician billing operations should not be an afterthought for hospitals and health systems acquiring a physician practice Better Communication Means a Better Revenue Cycle From the Chair Creating a positive patient financial experience is important in the changing healthcare landscape for patient satisfaction and for an effective revenue cycle Leveraging Data to Inform Patient Collections Effective revenue cycle management requires the ability to leverage data and analytics to inform billing and collections using successful practices These are our fonts This is an h1 font This is an h2 font This is an h3 font This is an h4 font This is an h5 font This is our regular text font Ask the Experts Resolving Small Balance Accounts How do hospitals and physician practices resolve small balance adjustments Beyond Compliance Consolidating Unclaimed Property Analysis and Reporting Every healthcare organization should consolidate unclaimed property analysis and reporting to reduce compliance risk and generate savings Use HFMA s MAP Keys to Improve Revenue Cycle Performance Revenue cycle leaders can use HFMA s Map keys to improve their revenue cycle performance Keys to Successfully Using Prearrival Patient Financial Profiles Revenue cycle leaders may meet several financial goals by using prearrival patient financial profiles Ask the Expert Employees in Collections and Bad Debt Do hospitals treat employees differently when it comes to collections and bad debt Several experts weigh in Ask the Expert Percentage of A R Bad Debt Outsourced to Collection Agencies A Forum expert provides an equation that could estimate how much A R bad debt a hospital outsources to collection firms Tool Sample Delinquent Accounts Summary Report Hospital finance leaders can adapt this sample delinquent accounts report to help them in addressing discharge not final billed DNFB accounts MAP Event Course Using Outsourcing to Reduce Net Days in A R Improve Aged A R and Lower Bad Debt Learn how the Hospital of the University of Pennsylvania uses outsourcing to allow internal resources to focus on aspects of the revenue cycle that provides the best return higher dollars associated with lower volume Now More Than Ever Collections Must Be Patient Friendly Two finance leaders share their hospitals approaches to selling bad debt accounts and ensuring patient friendly collections Ask the Expert Finding Out Why Patient Accounts Are Held in DNFB How can I determine why and where patient accounts are held up in DNFB Patient Friendly Collections In House Versus Outsourced Two health systems achieve patient friendly collections using opposite approaches Reform and Consumer Directed Health Care Can Benefit Your Revenue Cycle As patients assume more responsibility for their healthcare costs hospitals should make the payment process easy to navigate Page 1 of 3 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

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    rebill Ask the Expert Best Practice for Billing Transfers A revenue cycle experts explains the best practice for billing transfers Ask the Expert Collection Agency Written Agreements A revenue cycle expert provides an example of language that can be used in a written agreement between a hospital and collection agency How HCA Has Improved Revenue Cycle Staff Productivity Five ways hospital financial leaders can motivate their back office revenue cycle staff and boost productivity Sample Charge Rejection Report Providence Health and Services used this report to reduce the number of unresolved charges Sample Charge Reconciliation Report Providence Health and Services uses these daily audit reports to monitor charge posting activity reconcile counts and review high dollar charge posting Ask the Experts Answer Cost to Collect Calculations Q We are basing staffing decisions on your benchmark of 2 of collections for cost to collect Would you explain how you arrived at this percentage We would like to obtain the facts and background that went into that research since it will be utilized at our facility for important decisions Revenue Cycle Ask the Expert Answer Cost to Collect Benchmark Q What is the current bench mark for cost to collect What is the formula for calculating the cost per claim What is the factor to determine the additional cost for rebill Providers Speak Leveraging Technology to Improve Revenue Cycle Efficiency Richelle Fleischer Vice President of Revenue Cycle Management for Riverside Health Systems discusses how one organization leverages technology to reduce its cost to collect Providers Speak Revenue Cycle Management Michael Ayres chief financial officer for the Cook County Health and Hospital System discusses the system s changes to revenue cycle Ask the Experts Answer Urgent Care Center Q We are opening an urgent care center that will be hospital based The consulting team that is setting up the billing suggests that we have two different charge slips and two different prices one for self pay and one for insurance patients I am not comfortable with this recommendation and would like guidance on charging two different prices Ask the Expert Insurance Claim Standards Q What are the healthcare industry standards for the number and dollar amount of insurance claims worked for a collector per day week and month A Unfortunately there are no industry standards or KPIs available at this time However providers Ask the Expert Getting Staff to Embrace Bedside Registration Advice for revenue cycle leaders on getting hospital staff to adopt bedside registration or workstations on wheels Tool NPAS Employee Coaching Checklist Managers at National Patient Account Services Inc NPAS use a checklist when meeting with an employee about his or her performance to help structure the exchange Using this form managers can document information and employees can communicate about items with Ask the Expert Answer Calculating Cost to Collect We are basing staffing decisions on your benchmark of 2 of collections for cost to collect Would you explain how you arrived at this percentage We would like to obtain the facts and background that went into that research since it will be utilized at our facility for important decisions Page 1 of 18 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

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    in developing a system of financial penalties for this type of delinquency ICD 10 Conversion Tools The North Carolina Healthcare Information and Communications Alliance Inc created a Timeline Initiative dealing with 5010 and ICD 10 CM conversion This link directs users to their Web site which offers a Modifications Timeline Database a listserv background information and Providers Speak Revenue Cycle Management Michael Ayres chief financial officer for the Cook County Health and Hospital System discusses the system s changes to revenue cycle Self Assessment Charge Entry and Protection Use this self assessment tool to ensure that you have key processes covered and check your performance measures against better practice target levels Self Assessment Health Information Management Use this self assessment tool to ensure that you have key processes covered and check your performance measures against better practice target levels Five Keys to Beginning ICD 10 Implementation Even though ICD 10 implementation is more than two years away your organization needs to start work immediately to be successful Engaging Stakeholders in ICD 10 Without ensuring stakeholder buy in your ICD 10 implementation efforts could stall or fall short Ask the Expert Real Time Coding Scrubber This Revenue Cycle Forum Ask the Expert question asks if there is a real time coding scrubber option out there Ask the Experts Answer Charge Tickets How long should we keep charge tickets in the ambulatory care setting Training Programs for Coders Where to Find Them How to Evaluate Them Professional coders need ongoing training to keep up with all of the changes in medical coding Use HFMA s MAP Keys to Improve Revenue Cycle Performance Revenue cycle leaders can use HFMA s Map keys to improve their revenue cycle performance Foreign Body Removals This article discusses how to code foreign body removals such as fishhooks Don t Stop Now ICD 10 Checklist Encounter Forms Despite the possible implementation delay of ICD 10 healthcare organizations should be taking these steps to prepare for the new code sets Insights into 5010 Related Payer Rejections Payers differ in the way they interpret 5010 guidelines leaving providers at risk for rejections and denials Safety Net Denver Health System Improves Revenue Cycle Performance Taking a Lean approach has helped Denver Health generate 29 million in revenue cycle improvements Orthopedic Code Changes This article covers some new orthopedic code changes that have taken effect Clinical Documentation Improvement Supports the Revenue Cycle When appropriately implemented CDI programs are an invaluable tool for improving documentation that accurately demonstrates the level and complexity of care a patient receives Risks of Cookie Cutter Documentation This article discusses increased risk of documentation in electronic health records due to time saving features Page 1 of 11 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

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    patients Sample Policy Financial Assistance This sample policy for patient financial assistance includes details on calculating discounts Proposed Guidelines for Patient Financial Interactions Released HFMA has released a draft of new best practices that will bring more consistency clarity and transparency to patient financial interactions Revenue Cycle Strategist subscribers are encouraged to comment on the proposed guidelines at pfibestpractices com Ask the Expert Merging Charity Care Policies with Acquired Physician Practices How should hospitals that acquire physician practices develop integrated charity care policies and procedures Ask the Expert Covering Copays Under Charity Care Policies Is it appropriate to allow copays to be covered under charity care Giving Outpatients POS Financial Counseling Decreases Centra Health s Bad Debt Centra Health decreased bad debt by 2 percent by empowering registration and other POS staff to act as financial counselors A New Day for Patient Financial Communications From the President HFMA has launched a new initiative to provide healthcare organizations with concrete steps on how to communicate with patients about their financial responsibilities Big Opportunities for Using Big Data Some hospitals and health systems have demonstrated success using big data to reduce costs of care delivery improve quality of care and outcomes and better manage specific patient populations How to Prepare Patient Financial Services for Reform Revenue cycle leaders who keep their PFS staff current with ACA requirements will have the greatest advantage in securing benefits for their patients Web Extra Developing an Integrated Revenue Cycle Strategy What to Consider Learn what to consider in developing an effective revenue cycle integration strategy Six Pillars of Patient Satisfaction with the Revenue Cycle To enhance patient satisfaction with the revenue cycle adopt six strategies to improve transparency consistency quality data accessibility privacy and public perception Using Data Analytics to Identify Revenue at Risk Predictive and comparative analytics have the potential to drive improved value by pinpointing areas where proactive steps can better support optimal revenue cycle performance as well as the organization s mission Strategies for Successful Revenue Cycle Outsourcing Third party service providers have long performed certain aspects of revenue cycle management but some hospitals and health systems are now outsourcing the entire process HFMA Announces New Best Practices for Patient Financial Communications HFMA has released best practices for patient financial communications that provide tangible guidance for communicating with patients about their financial responsibility for health care ICD 10 Training for the Rest of Us It s clear that inpatient coders need the ICD 10 soup to nuts training here is some guidance on the training needed by other hospital and health system groups and departments Helping Individuals Obtain Health Coverage Under the ACA A study of California hospitals reveals successful practices for reducing the number of uninsured that could benefit many hospitals and their communities nationwide North Shore LIJ s Three Pronged Approach to Charity Care The 16 hospital health system which serves New York City and Long Island has increased patient requested charity by 782 percent since 2005 Page 1 of 4 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

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    Statement by Specialty Patient out of pocket liability has doubled over the past five to six years and is continuing to increase Knowing that patient responsibility can vary by practice and payer type can aid revenue cycle leaders in establishing appropriate processes Wooing Patients with Technology There s a marketing advantage to providing tools that make it easier for patients to schedule appointments find out test results and pay for their care So why aren t more hospitals and health systems using these tools The March of Consumerism The Evolution from Patient to Active Shopper Continues Washington High cost sharing benefit designs coupled with transparency tools will cause individuals to behave more like consumers and less like patients Common Collection Problems Related to the Exchange Plans Revenue cycle leaders share tips for avoiding collection problems with patients who are newly insured through the public exchanges The Many Faces of Retail Health With the number of retail clinics expected to double by 2015 and millions of Americans turning to the health insurance marketplaces for coverage the era of retail health is here Big Opportunities for Using Big Data Ad Supplement SPECIAL ADVERTISING SECTION JANUARY 2014 BIG OPPORTUNITIES FOR USING BIG DATA100 JANUARY 2014 healthcare financial management At a time when bending the cost curve and exchanging volume for value have become primary goals for the industry healthcare organizations are beginning to understand the need to leverage data t Big Opportunities for Using Big Data Some hospitals and health systems have demonstrated success using big data to reduce costs of care delivery improve quality of care and outcomes and better manage specific patient populations Web Extra Developing an Integrated Revenue Cycle Strategy What to Consider Learn what to consider in developing an effective revenue cycle integration strategy Improving Pharmacy Revenue Integrity Billings Clinic worked to identify disconnects between medication purchases charges and payment and has significantly improved coding efficiency and quality Creating a Positive Culture for Collections By helping patient financial services personnel feel comfortable asking for money from patients at the time of service OhioHealth has captured millions of dollars in point of service collections and empowered staff to more effectively help patients resolve their accounts Internal Audits Can Safeguard Hospital Revenue Hospitals can improve their revenue capture by implementing an automated internal audit function that identifies the root causes of denials thereby helping to prevent the denials from occurring in the first place Using Data Analytics to Identify Revenue at Risk Predictive and comparative analytics have the potential to drive improved value by pinpointing areas where proactive steps can better support optimal revenue cycle performance as well as the organization s mission Strategies for Successful Revenue Cycle Outsourcing Third party service providers have long performed certain aspects of revenue cycle management but some hospitals and health systems are now outsourcing the entire process Doing Well by Doing Good Patient Financial Advocacy in Action By reaching out to uninsured and underinsured patients across the continuum of care UPMC has increased point of service collections increased financial assistance referrals obtained medical assistance for many patients and reduced bad debt Tool Sample Aetna Employee Health Literacy Quiz Question This sample question is from Aetna s online employee quiz on health literacy Page 1 of 4 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

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    by incorporating a team approach to denials management Measuring Your Technical and Clinical Denial Rates By using key performance indicators to measure denial rates revenue cycle leaders can assess the effectiveness of their organization s denials management processes Reasons for Automated Denials by RACs The Recovery Audit Contractors RACs are issuing automated denials for many reasons according to the American Hospital Association RACTrac Survey Tips for Improving Medical Billing Medical billing has evolved into a key component of every healthcare organization s revenue cycle Payer Provider Collaboration Reduces Denials Putting down differences and picking up the phone significantly reduced the claims denial rate with a major payer for a California hospital Safety Net Denver Health System Improves Revenue Cycle Performance Taking a Lean approach has helped Denver Health generate 29 million in revenue cycle improvements Insights into 5010 Related Payer Rejections Payers differ in the way they interpret 5010 guidelines leaving providers at risk for rejections and denials Converting the Physician Practice into a Revenue Cycle Champion Five key metrics can help health system revenue cycle leaders improve their physician practice finances Denver Health s Revenue Cycle Value Stream Metrics for A R Days Revenue cycle value stream metrics show performance over time and accounts receivable A R days illustrate sustained improvement at Denver Health System When and How ERISA Can Protect Providers in an Audit Situation Here are some specifics providers should know about ERISA and commercial audits Tool Sample Contracting Language to Protect Against Denials Improving Managed Care Recovery From contract review to post payment payer outreach these five steps will help providers protect managed care revenue and improve recovery Avoiding Commercial Payer Recoupment Taking time to bolster documentation and medical necessity justification can foster prompt and appropriate payment and prevent both federal and commercial audits at the same time Better Communication Means a Better Revenue Cycle From the Chair Creating a positive patient financial experience is important in the changing healthcare landscape for patient satisfaction and for an effective revenue cycle Internal Audits Can Safeguard Hospital Revenue Hospitals can improve their revenue capture by implementing an automated internal audit function that identifies the root causes of denials thereby helping to prevent the denials from occurring in the first place Ask the Expert Denials Overturn Rate What percentage of denials are usually overturned 6 Essential Elements for Physician Revenue Cycle Management Physician billing operations should not be an afterthought for hospitals and health systems acquiring a physician practice 5 Strategies for Authorization Success Renee Edwards health system director of patient financial services for Saint Francis Health System credits five strategies for her organization s success with minimizing authorization based denials Page 1 of 6 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

    Original URL path: http://www.hfma.org/TopicList.aspx?id=12524&taxid=478 (2016-02-10)
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    Expert Cost per Claim and Cost for Rebill Advice for revenue cycle leaders on the formula for calculating the cost per claim as well as the factor to determine the additional cost for rebill Converting the Physician Practice into a Revenue Cycle Champion Five key metrics can help health system revenue cycle leaders improve their physician practice finances Before Merging a Trial Period Delivers Big Benefits Before St Vincent s Hospital and Eastern Health System formally merged they successfully consolidated their business offices Ask the Expert Patient Access Productivity Standards A list of patient access productivity standards for revenue cycle leaders Job Description Inpatient Registrar Job Description Inpatient Registrar Job Title Inpatient Registrar Job Level Staff Date Revised 1 14 04 Functional Area Patient Access Submission Demographics JD 6 Notes JOB DESCRIPTION JOB TITLE Inpatient Admissions Registrar DEPARTMENT Ask the Expert Cost to Collect Benchmark and Calculations Advice for revenue cycle leaders on the formula and current benchmark for cost to collect Patient Identity Theft A Financial Pandemic The rise in both the number of uninsured and underinsured patients has contributed to the approximately 68 billion lost to healthcare fraud each year Tool Job Description Outpatient Patient Access Representative Adapt this outpatient patient access representative job description for your organization Doing Well by Doing Good Patient Financial Advocacy in Action By reaching out to uninsured and underinsured patients across the continuum of care UPMC has increased point of service collections increased financial assistance referrals obtained medical assistance for many patients and reduced bad debt Strategies for Successful Revenue Cycle Outsourcing Third party service providers have long performed certain aspects of revenue cycle management but some hospitals and health systems are now outsourcing the entire process Creating a Positive Culture for Collections By helping patient financial services personnel feel comfortable asking for money from patients at the time of service OhioHealth has captured millions of dollars in point of service collections and empowered staff to more effectively help patients resolve their accounts Improving Pharmacy Revenue Integrity Billings Clinic worked to identify disconnects between medication purchases charges and payment and has significantly improved coding efficiency and quality Get Set for the Insurance Marketplaces A strong focus on educating consumers about their options for coverage could help hospitals offset the impact of reform on their margins Helping Individuals Obtain Health Coverage Under the ACA A study of California hospitals reveals successful practices for reducing the number of uninsured that could benefit many hospitals and their communities nationwide Using Data Analytics to Identify Revenue at Risk Predictive and comparative analytics have the potential to drive improved value by pinpointing areas where proactive steps can better support optimal revenue cycle performance as well as the organization s mission Page 1 of 6 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

    Original URL path: http://www.hfma.org/TopicList.aspx?id=12524&taxid=479 (2016-02-10)
    Open archived version from archive



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