Category Archives: Industry Topics

Behavioral Health Is Booming —But RCM Isn’t Ready (Yet)!

According to a recent industry report, “Behavioral health is the fastest-growing segment in healthcare, outpacing all other specialties in spending growth.” * That growth brings opportunity, but it also brings a level of billing and compliance complexity that surprises even seasoned healthcare revenue cycle leaders. The Opportunity In an often-quoted 2025 report by Precedence Research, the U.S. behavioral… Read More »

AI to the Rescue: Turning the Tide Against the Claims Denial Tsunami

Ever feel like you’re drowning in denied claims? You’re not alone. Across the country, healthcare providers are facing an unprecedented wave of rejections that’s straining resources, delaying payments, and pushing teams to their breaking point. The Devastating Numbers The statistics paint a grim picture. The landscape of claims processing has dramatically shifted, with denial rates jumping from 8%… Read More »

Webinar: Private Equity and Healthcare

By | March 20, 2025

Join us for an insightful webinar on Wednesday, April 30th at 12:00 pm EST that delves deep into private equity investments in the healthcare sector, examining their impact on spending, quality, and patient access. Our discussion will span the national landscape and zoom in on developments in Massachusetts and Rhode Island. A key highlight will be the analysis… Read More »

Why Do Physicians Count “Clicks”?

Electronic Health Records: Advancing Care, Challenging Physicians Electronic Health Records (EHRs) have transformed healthcare delivery, simultaneously enhancing patient care quality while presenting significant operational challenges for physicians. This summary examines the dual impact of EHR implementation in modern physician workflow. Positive Impact on Patient Care EHRs significantly enhance healthcare delivery through several key mechanisms. The centralization of patient… Read More »

HFMA and NEHIA To Host Compliance and Internal Audit Conference, Welcome Participation in Virtual Food Drive

By | November 19, 2024

With the holidays rapidly approaching, there will be plenty of opportunities for individuals and organizations to give back to communities in meaningful ways. One such way is by supporting the Gemma E. Moran United Way / Labor Food Center, which helps to advance its mission to address food insecurity issues and directly impacts the quality of life of… Read More »

Key takeaways from July 25, 2024 Webinar on Compliantly Managing financial Arrangements: Perspectives from Legal, Compliance and Finance Leaders

This year’s webinar highlighted ways that Legal, Compliance and Finance leaders collaborate to ensure that their organizations’ financial arrangements are complying with critically important laws, such as the Stark Law and Anti-kickback Statute, to prevent violations and mitigate potential financial and reputational harm. Our speakers Kate Eshghi, Senior Vice President and General Counsel at UMass Memorial Health, Timothy… Read More »

Call for 2025 Revenue Cycle Conference Speaker Proposals ~ Submit Today!

By | May 14, 2024

This is HFMA’s premier revenue cycle conference in the Northeast and has attracted hundreds of revenue cycle professionals for several years running. This year’s conference is being held on Thursday and Friday, January 30-31, 2025. Share your expertise and help advance the best practices relating to current issues impacting the revenue cycle with your colleagues across the revenue… Read More »

Meet 2024 Compliance Committee Members

By | April 9, 2024

The Compliance Committee focuses on all aspects of corporate compliance & privacy activities required of healthcare organizations. The Committee is charged with exploring compliance program best practices, as well as advising the planning of the annual joint compliance and internal audit conference in December 2024 with the New England Healthcare Internal Auditors (NEHIA). The Committee is also responsible… Read More »

Key Takeaways from the 2023 HFMA and NEHIA Compliance and Internal Audit Conference – Post Acquisition Integration: The Real Focus and Challenge for Compliance

As we begin 2024, it’s a good time to reflect on the valuable insights we gained from the previous year. Last year I attended the 2023 Joint Annual Compliance and Internal Audit Conference, held by the Healthcare Financial Management Association (HFMA) MA-RI Chapter and the New England Internal Auditors (NEHIA) in Mystic Marriott in Groton, CT. The conference… Read More »