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  • Payment Clarity: A Better Revenue Cycle Strategy
    today constitute roughly a quarter or more of all healthcare revenue Revenue Cycle A Shifting Paradigm Against this backdrop healthcare organizations of all sizes must transform their revenue cycle strategies to include patients The traditional focus on payers will no longer suffice Providers must more fully address patient collections In short they need to find effective ways to collect more of the money owed by patients or risk their own financial health Leading organizations and industry groups like HFMA and HIMSS are spearheading initiatives to help the industry chart a course towards a more patient centric or patient friendly revenue cycle There are several aspects for physician practices and health systems to consider in regards to the jump in patient payment obligation First provider systems and workflows are currently designed to primarily address collections from government and commercial payers rather than the consumer As a result providers are finding that there are significant differences in the time resources and cost required to collect patient balances versus collecting from insurance carriers Current revenue cycle processes are not traditionally set up to address consumer payment needs which can have a significant effect on the patient experience and satisfaction levels Emphasis on the patient experience touches all areas of healthcare and the revenue cycle is no exception As one recent report revealed a negative patient financial experience can often keep patients from paying their bills and may even prevent them from returning for another visit with the provider In the end patient dissatisfaction with financial processes can negatively impact satisfaction scores and the bottom line As the patient responsibility trend continues to grow healthcare organizations must attempt to balance effective revenue cycle management workflows with efforts to improve the patient experience Fortunately there is a better approach When industry stakeholders work together to establish a framework of payment clarity everyone wins Payment clarity is characterized by two factors Foundational knowledge that allows providers to estimate and communicate patient charges before or at the time of their visit Effective communication strategies and clear post visit billing that minimize confusion and empower patients to take responsibility for the costs associated with their care Moving Toward Payment Clarity The big picture of payment clarity will ultimately provide the opportunity for organizations to update their business models technological infrastructures and workflows Revenue cycle management must be reinvented to foster collaboration between stakeholders who may have not been accustomed to working together in the past As best practice business models continue to evolve in response to current trends healthcare organizations can take first steps now to move toward greater clarity The key is to improve information sharing and communication between payers providers and patients By deploying processes and tools to facilitate better payment estimations and communication with patients for example revenue cycle management professionals can start to more proactively secure payments Historically healthcare organizations have not consistently followed up with patients early in the claims process to collect revenue after the initial patient encounter Failure to do so is where providers of all sizes lose the most cash in the revenue cycle process Therefore to bolster collections physician practices and hospitals need to develop sound financial communication plans that take effect both before and at the point of care Software driven solutions that can mine data from the organization s practice management system and other sources is one way to provide patients with an up front estimate of what they will owe for their services These tools provide a baseline of what a procedure will cost what patients insurers typically pay for procedures and estimated balances patients will owe based on their copayments coinsurance and deductibles Using this information billing personnel can open up conversations with patients based on accurate information regarding estimated out of pocket costs Then they can either arrange for payment on the spot or make alternate payment arrangements for more complex circumstances At a minimum sharing this estimate at the time of care with the patient helps set a clear expectation from the beginning helping to avoid future unpleasant billing surprises for the patient This information can also help address the knowledge and culture gap that exists for many providers and patients when it comes to understanding the nuances of patient balances For example it is not uncommon for front office staff to have limited knowledge of HDHPs or other alternative payment models such as health savings accounts Thus when patients plan to receive care within these parameters financial conversations can often become misconstrued and uncomfortable However once providers are equipped with the right information communication strategies can be employed to break down barriers between providers and patients This concept of proactive patient outreach is currently an under represented skillset for most administrative staff As a result staff should be trained as to when where and how to set expectations for payment as well as to manage the in person collection process New skillsets will have to be acquired including how to decipher out of pocket costs how to accurately describe payment plans and how to receive and account for up front payments For resource strapped healthcare providers addressing this critical issue amid so many competing priorities can be challenging Thus many are seeking out the assistance of financial counselors to work alongside revenue cycle staff and mentor them on how to successfully shift processes to communicate financial responsibilities with patients In this way all parties can learn to navigate the new financial realities of the healthcare system together Reinventing the Patient Payment Process With patients now responsible for approximately 25 30 percent of all healthcare revenue it is paramount that providers develop a solid plan for reinventing their patient collections processes to include up front estimation and collections clarity in setting patient expectations and convenient payment options in post care billing Collecting payments early yields a significant bottom line revenue performance opportunity and as hospitals and physician practices continue to contend with tremendous cost pressures every additional dollar to hit accounts receivable makes a difference By deploying a technology solution to estimate costs and spur early payments providers can head off collection problems down the road and build a solid foundation for effective patient revenue cycle management Stuart Hanson is senior vice president and general manager consumer payment Change Healthcare Publication Date Wednesday January 13 2016 BACK TO PAGINATION Simplified Solutions from Our Sponsor Improving up front collections and patient experience Providers are currently navigating a growing revenue cycle trend the rise of high deductible health plans HDHPs and increased patient financial responsibility As a result providers are adjusting their revenue cycle management approach to be more consumer or patient centric In fact according to a census conducted by America s Health Insurance Plans AHIP 17 4 million people were enrolled in HDHP plans at the beginning of 2014 up from just 11 4 million three years earlier Patient payments continue to expand as a portion of the total revenue that physicians offices and hospitals receive for their services Much of this upsurge can be attributed to the popularity of HDHPs that trade lower premiums for significantly higher deductibles copayments and total annual out of pocket patient spend Deductibles and total out of pocket expenses have climbed steadily in the past decade even among more traditional employer sponsored plans According to the Kaiser Family Foundation for example the average deductible for a family PPO plan has nearly doubled from 1 034 in 2006 to 1 954 in 2014 Likewise J P Morgan statistics show that out of pocket payments from patients are expected to total 420 billion this year up from 250 billion in 2011 a 68 percent increase in just five years The report from J P Morgan also noted that bad debt from insured patients is mounting at some hospitals at more than 30 percent per year Patient payments which typically accounted for less than 10 percent of revenue early last decade today constitute roughly a quarter or more of all healthcare revenue Revenue Cycle A Shifting Paradigm Against this backdrop healthcare organizations of all sizes must transform their revenue cycle strategies to include patients The traditional focus on payers will no longer suffice Providers must more fully address patient collections In short they need to find effective ways to collect more of the money owed by patients or risk their own financial health Leading organizations and industry groups like HFMA and HIMSS are spearheading initiatives to help the industry chart a course towards a more patient centric or patient friendly revenue cycle There are several aspects for physician practices and health systems to consider in regards to the jump in patient payment obligation First provider systems and workflows are currently designed to primarily address collections from government and commercial payers rather than the consumer As a result providers are finding that there are significant differences in the time resources and cost required to collect patient balances versus collecting from insurance carriers Current revenue cycle processes are not traditionally set up to address consumer payment needs which can have a significant effect on the patient experience and satisfaction levels Emphasis on the patient experience touches all areas of healthcare and the revenue cycle is no exception As one recent report revealed a negative patient financial experience can often keep patients from paying their bills and may even prevent them from returning for another visit with the provider In the end patient dissatisfaction with financial processes can negatively impact satisfaction scores and the bottom line As the patient responsibility trend continues to grow healthcare organizations must attempt to balance effective revenue cycle management workflows with efforts to improve the patient experience Fortunately there is a better approach When industry stakeholders work together to establish a framework of payment clarity everyone wins Payment clarity is characterized by two factors Foundational knowledge that allows providers to estimate and communicate patient charges before or at the time of their visit Effective communication strategies and clear post visit billing that minimize confusion and empower patients to take responsibility for the costs associated with their care Moving Toward Payment Clarity The big picture of payment clarity will ultimately provide the opportunity for organizations to update their business models technological infrastructures and workflows Revenue cycle management must be reinvented to foster collaboration between stakeholders who may have not been accustomed to working together in the past As best practice business models continue to evolve in response to current trends healthcare organizations can take first steps now to move toward greater clarity The key is to improve information sharing and communication between payers providers and patients By deploying processes and tools to facilitate better payment estimations and communication with patients for example revenue cycle management professionals can start to more proactively secure payments Historically healthcare organizations have not consistently followed up with patients early in the claims process to collect revenue after the initial patient encounter Failure to do so is where providers of all sizes lose the most cash in the revenue cycle process Therefore to bolster collections physician practices and hospitals need to develop sound financial communication plans that take effect both before and at the point of care Software driven solutions that can mine data from the organization s practice management system and other sources is one way to provide patients with an up front estimate of what they will owe for their services These tools provide a baseline of what a procedure will cost what patients insurers typically pay for procedures and estimated balances patients will owe based on their copayments coinsurance and deductibles Using this information billing personnel can open up conversations with patients based on accurate information regarding estimated out of pocket costs Then they can either arrange for payment on the spot or make alternate payment arrangements for more complex circumstances At a minimum sharing this estimate at the time of care with the patient helps set a clear expectation from the beginning helping to avoid future unpleasant billing surprises for the patient This information can also help address the knowledge and culture gap that exists for many providers and patients when it comes to understanding the nuances of patient balances For example it is not uncommon for front office staff to have limited knowledge of HDHPs or other alternative payment models such as health savings accounts Thus when patients plan to receive care within these parameters financial conversations can often become misconstrued and uncomfortable However once providers are equipped with the right information communication strategies can be employed to break down barriers between providers and patients This concept of proactive patient outreach is currently an under represented skillset for most administrative staff As a result staff should be trained as to when where and how to set expectations for payment as well as to manage the in person collection process New skillsets will have to be acquired including how to decipher out of pocket costs how to accurately describe payment plans and how to receive and account for up front payments For resource strapped healthcare providers addressing this critical issue amid so many competing priorities can be challenging Thus many are seeking out the assistance of financial counselors to work alongside revenue cycle staff and mentor them on how to successfully shift processes to communicate financial responsibilities with patients In this way all parties can learn to navigate the new financial realities of the healthcare system together Reinventing the Patient Payment Process With patients now responsible for approximately 25 30 percent of all healthcare revenue it is paramount that providers develop a solid plan for reinventing their patient collections processes to include up front estimation and collections clarity in setting patient expectations and convenient payment options in post care billing Collecting payments early yields a significant bottom line revenue performance opportunity and as hospitals and physician practices continue to contend with tremendous cost pressures every additional dollar to hit accounts receivable makes a difference By deploying a technology solution to estimate costs and spur early payments providers can head off collection problems down the road and build a solid foundation for effective patient revenue cycle management Stuart Hanson is senior vice president and general manager consumer payment Change Healthcare Publication Date Wednesday January 13 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 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

    Original URL path: http://www.hfma.org/Content.aspx?id=45784 (2016-02-10)
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  • Forum Webinar: Laying the Groundwork for Bundled Payment Success
    model As a result providers should be ready for a slower payment cycle said Margaret Kornuszko Story health systems scientist Lehigh Valley Health Network Allentown Pa Learn more by accessing the event The on demand recording of the event The slides from the event Polling question results NOTE CPE credits are only available to Forum members who attended the live webinar on Nov 5 2013 Publication Date Tuesday November 12 2013 BACK TO PAGINATION During this Nov 5 2013 Forum webinar four speakers shared their experiences implementing bundled payments and shared how the payment model can increase quality outcomes reduce cost minimize financial risk and attract volume Here are two key takeaways from the discussion Analyze volume To gauge the viability of bundled payment in your organization determine whether there is enough demand in your market for certain bundled payment procedures That way the volume of patients receiving those procedures will offset any revenue lost as a result of the bundled payment discount said Dave Jackson senior consulting manager payment reform services Truven Health Analytics Ann Arbor Mich Recognize market limitations In some sectors of the healthcare industry capacity for managing bundled payment is limited For example some payers are processing bundled payments on paper because their systems aren t ready to accept the new payment model As a result providers should be ready for a slower payment cycle said Margaret Kornuszko Story health systems scientist Lehigh Valley Health Network Allentown Pa Learn more by accessing the event The on demand recording of the event The slides from the event Polling question results NOTE CPE credits are only available to Forum members who attended the live webinar on Nov 5 2013 Publication Date Tuesday November 12 2013 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 EHR software to realize a high ROI in speed to payment patient satisfaction and portal adoption for meaningful use HFMA Business Profiles Somnia Bending the Healthcare Cost Curve Toward Improved Anesthesia Value Somnia President and CEO Marc Koch MD MBA explains how hospitals can drive transformative change in the perioperative experience for outstanding clinical and financial outcomes HFMA RESOURCE LIBRARY Large Health System Drives 10

    Original URL path: http://www.hfma.org/Content.aspx?id=20356 (2016-02-10)
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  • Ask the Expert: Service Line Productivity Model
    further drill down by attending and by surgeon and look at trends by quarter Often the LOS drives the direct cost per case and if there are statistically significant LOS variances they will negatively impact the service line This question was answered by Rosemary Rotty FHFMA director of financial planning UMassMemorial Medical Center UMMMC Worcester Mass and a member of HFMA s Massachusetts Rhode Island Chapter rosemary rotty umassmemorial org Share your views on this question or pose another question to our CFO Forum experts Publication Date Monday October 22 2012 BACK TO PAGINATION Question My CFO asked me to design a productivity benchmarking model Can you provide any advice We are a 70 bed facility in Alabama and we predominantly perform orthopedic surgeries My goal is to come up with some kind of cost profile for our top 10 service lines and to tie overall productivity to a benchmark that I can design for these service lines This is a sample HFMA Forum Ask the Expert question and answer Click here for more information on Forum subscriptions Answer At UMass Memorial Medical Center we obtain comparative data for cost and quality measures from an alliance of the nation s academic medical centers The alliance provides us with comparative benchmarking for length of stay LOS readmissions and other quality indicators We can also obtain quarterly management reports that provide snapshots of organizational performance on critical clinical operational and financial metrics There are several other organizations that provide comparative benchmark services From an LOS perspective I often start with the Centers for Medicare Medicaid s DRG data and compare the geometric mean LOS It allows me to see the variances and I can further drill down by attending and by surgeon and look at trends by quarter Often the LOS drives the direct cost per case and if there are statistically significant LOS variances they will negatively impact the service line This question was answered by Rosemary Rotty FHFMA director of financial planning UMassMemorial Medical Center UMMMC Worcester Mass and a member of HFMA s Massachusetts Rhode Island Chapter rosemary rotty umassmemorial org Share your views on this question or pose another question to our CFO Forum experts Publication Date Monday October 22 2012 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

    Original URL path: http://www.hfma.org/Content.aspx?id=13922 (2016-02-10)
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  • Ask the Expert: Compliance Issues and Comanagement Arrangements
    resources This question was answered by Diane Blaha compliance consultant Spofford N H and a member of HFMA s New Hampshire Vermont Chapter diane blaha gmail com Share your views on this question or pose a new question to our Legal Regulatory Forum experts Publication Date Friday March 16 2012 BACK TO PAGINATION Question We are considering establishing a comanagement arrangement with a group of orthopedic surgeons What are some of the thornier compliance issues that we should pay attention to at the outset of discussions This is a sample HFMA Forum Ask the Expert question and answer Click here for more information on HFMA Forum subscriptions Answer I am unable to quote a source but I understand that comanagement agreements while once popular have fallen out of favor with some lawyers I suspect it has to do with enforcement actions and developing case law interpreting the Stark statute The comanagement arrangement would have to meet an exception under the Stark law To meet the personal services or fair market value compensation exception the agreement has to be for identifiable services at fair market value and commercially reasonable See federal regulation 42 C F R 411 357 Exceptions to the Referral Prohibition Related to Compensation Arrangements particularly d and l for all of the elements that must be satisfied to meet these exceptions to the Stark law s referral and billing prohibitions Unless the agreement is carefully drafted and performance under the agreement well documented with tangible performance measures it might not be looked on favorably when scrutinized The Centers for Medicare Medicaid Services has started posting information on its settlements with organizations using the Stark self disclosure protocol These might prove insightful as to the types of arrangements that are problematic Unless otherwise noted any opinions expressed are my own and not those of my employer Halifax Health I am not a lawyer My comments should not be construed as legal advice This question was answered by George Rousis director corporate compliance and audit services Halifax Health Daytona Beach Fla george rousis halifax org Answer One consideration is influence and control If the manager is able to make a decision that has an impact on the other employer the controls are considered weak and it could have a financial impact to either clinic Different operational arrangements would have different compliance concerns Possible compliance concerns related to comanagement may include the following Compensation arrangements and any transfer of funds Patient services referred between the two clinics Sharing of financial information i e contracts billing HIPAA privacy Sharing of resources This question was answered by Diane Blaha compliance consultant Spofford N H and a member of HFMA s New Hampshire Vermont Chapter diane blaha gmail com Share your views on this question or pose a new question to our Legal Regulatory Forum experts Publication Date Friday March 16 2012 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

    Original URL path: http://www.hfma.org/Content.aspx?id=789 (2016-02-10)
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  • Ask the Expert: Splitting Charges for Multiple OR Procedures
    cycle HealthAlliance of the Hudson Valley Kingston N Y and a member of HFMA s Hudson Valley New York Chapter kelly mcginnis hahv org Share your views on this question or pose another question to our Payment Reimbursement Forum experts Publication Date Thursday May 17 2012 BACK TO PAGINATION Question What is a best practice for splitting charges when a patient has multiple procedures at once For example we had a workers compensation case for a hernia repair and the patient chose to have another hernia repaired while in surgery Two experts answered this question submitted by Melanie Emter finance director Livingston Healthcare Livingston Mont and a member of HFMA s Montana Chapter melanie emter livingstonhealthcare org THIS IS A SAMPLE Q A FROM HFMA FORUMS SUBSCRIBERS TO HFMA FORUMS GET ACCESS TO THE FORUM ASK THE EXPERT SERVICE LEARN MORE Answer 1 Usually for a procedure that occurs in the operating room OR the Current Procedural Terminology CPT code s appends to revenue code 360 Unless your chargemaster is set up bill on a per procedure basis This question was answered by Caswell Samms vice president of revenue cycle St Barnabas Hospital Bronx N Y and a member of HFMA s Metropolitan New York Chapter csamms sbhny org Answer 2 I can explain our procedure which resulted from system constraints I don t believe this is a best practice but it is the approach that we use and have seen used by other hospitals Our system will allow the medical records department to code multiple OR procedures to revenue code 360 All of the charges for the revenue code are linked to the first line item on the bill which causes the bill to look like this Revenue Code CPT 4 Code Amount Charged 360 01 1 000 00 360 02 0 00 360 03 0 00 The following is our procedure for splitting charges We split the charge between the line items based on how many procedures were performed If there were two procedures the total charge for the OR is split 50 50 If there were three procedures the total charge for the OR is split by one third for each procedure It is not perfect because you may end up charging a different amount for the same procedure based on the number of other procedures performed We have been able to justify this approach due to the fact that our OR charge is based on time This question was answered by Kelly McGinnis director of revenue cycle HealthAlliance of the Hudson Valley Kingston N Y and a member of HFMA s Hudson Valley New York Chapter kelly mcginnis hahv org Share your views on this question or pose another question to our Payment Reimbursement Forum experts Publication Date Thursday May 17 2012 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

    Original URL path: http://www.hfma.org/Content.aspx?id=882 (2016-02-10)
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  • Ask the Experts: Resolving Small Balance Accounts
    that time For self pay our policy specifies that we may transfer over payments to other open accounts by the guarantor to satisfy outstanding patient balances The small balance write off of 4 99 applies against the self pay debits and credits If we are contacted about a small balance self pay credit we review it This question was answered by Steve Marshall director of patient financial services Margaret R Pardee Memorial Hospital Hendersonville N C and a member of HFMA s North Carolina Chapter steve marshall pardeehospital org Share your views on this question or pose another question to our Revenue Cycle Forum experts Publication Date Wednesday October 24 2012 BACK TO PAGINATION Question Do hospitals and physician practices use small balance adjustments to effectively resolve certain accounts How is this employed for insurance balances and patient balances What implications does the patient s insurance e g Medicare private have on these policies Answer 1 Our physicians adjust small balance write offs for both insurance and patient balances under these circumstances Insurance When the age of the claim reaches more than 60 days and the balance is less than 5 00 the balance is adjusted off as a miscellaneous adjustment Insurance When the insurance credit balance is less than 9 99 we adjust off the balance to third party recovery this notates the account so that if the insurance company requests this at a later time we can view this in our system reverse adjustment and refund if necessary Medicare Medicaid or BCBS All balances refunded Self pay credit balances Amounts less than 9 99 are recovered to self pay small balance adjustments credits are moved later to future encounters Self pay balances Amounts less than 9 99 are adjusted every 150 days to self pay small balance adjustments Our policy is to refund amounts greater than 9 99 for both patient and insurance credit balances unless a refund is requested We have now signed up for auto recoupment for Medicare credit balances so that we will not be charged penalties in the delay of a refund due Medicaid credit balances are all sent individually by a form with voucher information attached Credit balances remain on account until the state Medicaid department recoups re applies funds from current active vouchers This question was answered by Keith Moore FHFMA CFO HSHS Medical Group Springfield Ill and a member of the McMahon Illini Chapter kamoore hshs org Answer 2 There are many points of view on this topic but here is how our facility handles these scenarios We process and refund Medicare and Medicaid for all overpayment dollars and re bill accounts when it is appropriate We list the Medicare credit balances on the Medicare credit balance report if required For private insurance we auto write off 4 99 debits and credits via a small balance write off routine If a payer requests a refund we will review it at that time For self pay our policy specifies that we may transfer over payments to other open accounts by the guarantor to satisfy outstanding patient balances The small balance write off of 4 99 applies against the self pay debits and credits If we are contacted about a small balance self pay credit we review it This question was answered by Steve Marshall director of patient financial services Margaret R Pardee Memorial Hospital Hendersonville N C and a member of HFMA s North Carolina Chapter steve marshall pardeehospital org Share your views on this question or pose another question to our Revenue Cycle Forum experts Publication Date Wednesday October 24 2012 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

    Original URL path: http://www.hfma.org/Content.aspx?id=13979 (2016-02-10)
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  • CHFP
    Redesigned Certified Healthcare Finance Professional CHFP Program During this webinar attendees received a comprehensive overview of the newly realigned CHFP program Listen to this informative webinar which highlights the new program realignment rationale for the realignment and the process for earning the new CHFP designation Pricing HFMA members and non members Free For more information about the HFMA Certification Programs contact the Career Services Department or 800 252 4362 BACK TO PAGINATION HFMA s Certified Healthcare Financial Professional CHFP Now Available The CHFP program has been updated to provide the broad range of business and financial skills essential for succeeding in today s high value healthcare environment Business acumen Collaboration Financial strategy Understanding future trends The new CHFP is geared toward financial professionals clinical and nonclinical leaders and payers all those whose jobs require a deep understanding of the new financial realities of health care The new CHFP program includes two modules both modules must be successfully completed to earn the CHFP Register now for Module I of the CHFP program HFMA s Business of Health Care online program HFMA s Business of Health Care Healthcare finance overview risk mitigation evolving payment models healthcare accounting and cost analysis strategic finance and managing financial resources Register now for Module II of the CHFP Program HFMA s Operational Excellence exam HFMA s Operational Excellence exam Exercises and case studies on the application of business acumen in health care Earning the CHFP The CHFP credential is awarded upon successful completion of module 1 end of course assessment and successful completion of module II exam case study exercises HFMA membership is required Frequently Asked Questions Additional information is available in the CHFP FAQ document Revised 9 21 15 HFMA National Webinar Recording Understanding HFMA s Newly Redesigned Certified Healthcare Finance Professional CHFP Program During this webinar attendees received a comprehensive overview of the newly realigned CHFP program Listen to this informative webinar which highlights the new program realignment rationale for the realignment and the process for earning the new CHFP designation Pricing HFMA members and non members Free For more information about the HFMA Certification Programs contact the Career Services Department or 800 252 4362 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

    Original URL path: http://www.hfma.org/chfp/ (2016-02-10)
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  • FHFMA
    your HFMA certification Your certification is a designation of your achievement and professionalism HFMA s precision crafted frames have a stately prestigious design providing a fitting display for this important symbol of your professional identity Order your HFMA certification frame Certification Inquiries For more information about the HFMA Certification Programs contact the Career Services Department at careerservices hfma org or at 800 252 4362 and ask for Career Services BACK TO PAGINATION Fellow of the Healthcare Financial Management Association Requirements As recognized industry leaders HFMA Fellows act as ambassadors to the profession by raising the standard of practice through consistent participation in professional development activities and service to the healthcare finance industry Fellows can maintain their FHFMA designation by teaching courses making presentations publishing participating in special interest groups or attending educational events It s up to you Requirements for FHFMA certification include Current CHFP designation Five years total as a regular or advanced HFMA member student membership does not count toward this total Bachelor degree or 120 semester hours from an accredited college or university Volunteer activity in healthcare finance within three years of applying for the FHFMA designation including one of the following Earn the Follmer Bronze Award by earning 25 Founders points for HFMA volunteer activity Volunteer in your HFMA chapter and earn two Founders points for two consecutive years Volunteer service for two of the past three years in a healthcare industry organization Additional Information Submit your FHFMA application today One time application fee 150 Proudly display your HFMA certification Your certification is a designation of your achievement and professionalism HFMA s precision crafted frames have a stately prestigious design providing a fitting display for this important symbol of your professional identity Order your HFMA certification frame Certification Inquiries For more information about the HFMA Certification Programs contact the Career Services Department at careerservices hfma org or at 800 252 4362 and ask for Career Services 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 EHR software to realize a high ROI in speed to payment patient satisfaction and portal adoption for meaningful use HFMA Business Profiles Somnia Bending the Healthcare Cost Curve Toward Improved Anesthesia Value

    Original URL path: http://www.hfma.org/fhfma/ (2016-02-10)
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