Category Archives: Revenue Cycle

Harder than It Looks: Appropriate Use of the CMS Advanced Beneficiary Notice (ABN)

Of all the acronyms that Medicare patients become familiar with, the “ABN” is certainly not one of the favorites. An ABN, or “Advance Beneficiary Notice” is a waiver form that alerts a patient that a test or procedure will likely not be covered by Medicare, usually due to CMS medical necessity requirements regarding required diagnoses for coverage or… Read More »

CMS 2019 Proposed PFS Rule: Where to start

By | October 10, 2018

Many of you are likely aware that the Centers for Medicare and Medicaid Services (CMS) released the following rule for comment, which were due in September: Medicare Program Revisions to Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2019; Medicare Shared Savings Program Requirements; Quality Payment Program; and Medicaid Promoting Interoperability… Read More »

Five Best Practices in Hospital Pricing Transparency

By | August 27, 2018

The Advisory Board found that 89 percent of patients want to know their medical costs before receiving care. And that percentage is only expected to grow as healthcare becomes more consumer-centric—and as the financial burden continues to shift to patients through mechanisms like high-deductible health plans or self-funded employer plans. While demand for more information increases, many providers… Read More »

Revenue Integrity Leading Practice Considerations

As health systems face already-tightening operating margins, additional reductions in reimbursement, and the competing demand for an increasing focus on the patient experience, health systems are looking to control risks and maintain financial stability. Revenue Integrity programs, the conduits through which clinical departments and their revenue cycle colleagues promote integration to improve charge capture[1] and reduce revenue leakage[2],… Read More »

New to Healthcare Seminar Registration Open

By | August 8, 2018

The Massachusetts-Rhode Island Chapter will be hosting its annual New to Healthcare Seminar on Friday, September 21, 2018 at Suffolk Law School.  Join us for a great day of healthcare finance basics from leaders in the industry.  The day’s topics include: Fundamentals of Healthcare Finance and Reporting (Erik Lynch, BDO USA LLP) Law, Compliance and Regulations (Timothy Hogan,… Read More »

Evolution of Health Care: Bridging the Clinical, Administrative and Financial

By | June 27, 2018

By:  Frazer Buntin & Kate Rollins The new skills required to operate a value-based care business successfully are vast, and the financial return becomes viable only if a provider can go at-risk for enough lives to scale their investment. This reality is a major inhibitor to providers who want to move up the risk continuum and for those… Read More »

The Latest Issue of the HFMA Advisor is Available

By | June 26, 2018

The latest issue of the HFMA Advisor is now available online.  This issue features a summary of the 2018 Revenue Cycle Conference at Gillette Stadium and the Women’s Leadership Conference.  The issue also includes articles on “Taking Advantage of Your Risk” and “Offense Versus Defense.” We hope you enjoy this issue! Remember that past issues of the HFMA Advisor are… Read More »

Call for Speakers – Revenue Cycle Conference 2019

By | June 20, 2018

The HFMA MA-RI Revenue Cycle Committee is seeking speaker and presentation proposals for its 2019 Annual Revenue Cycle Conference (RCC) to be held on January 17th and 18th at the Gillette Stadium Clubhouse, Foxboro, MA. This is HFMA’s premier revenue cycle conference in the Northeast. Our recently expanded #HFMARCC 2-day conference has attracted 450 plus revenue cycle professionals… Read More »