This week’s 5 must-reads for hospital RCM leaders

Here are five articles recently published by Becker’s Hospital Review, covering stories about Medicare Advantage plans, out-of-network benefits and more:

Advertisement

1. Nearly half of consumers find purchasing healthcare stressful
A new report from computer software company Adobe and artificial intelligence-powered call tracking and analytics platform Invoca sheds light on what consumers are looking for in their healthcare experience.

2. RCM tip of the day: Make price transparency tools more consumer-centric
Claim denials can originate at patient registration as well as in the middle of the revenue cycle. With this in mind, hospitals should educate physicians and the coding team on documentation issues that can result in denials, said Tony Rinkenberger, revenue cycle director at Ridgeview Medical Center in Waconia, Minn.

3. Medicare Advantage plans putting more financial risk on providers
Medicare Advantage plans are increasingly using a “full-risk” model that moves financial exposure from patients to physician-management companies, according to a Kaiser Health News report. 

4. Study: Nearly one-third of hospitals lack revenue cycle technology for automated remittance posting
Hospitals are investing in some revenue cycle technology more than others, according to a study from Eliciting Insights. 

5. Percent of plans with out-of-network benefits declines sharply in individual, small group markets
Patients are increasingly exposed to the risk of high, unexpected medical bills as the share of ACA health plans with out-of-network benefits declines, according to an analysis from the Robert Wood Johnson Foundation.

 

More articles on healthcare finance: 

Big money spent on Montana initiative to fund Medicaid with tobacco tax hike
Fight over California dialysis profits initiative heats up
Medicare Advantage plans putting more financial risk on providers

Advertisement

Next Up in Financial Management

Advertisement

Comments are closed.