It’s Not About Reducing Staff HBI data reveals that the rate of hospitals or health systems that have implemented artificial intelligence for any revenue cycle function has not widely increased over the past year, but automation has shown some forward movement in comparison. Based on the conversations revenue cycle analysts have conducted with HBI members […]
Category: Revenue Cycle
How Well Does Your Organization Provide Price Transparency?
HBI’s newly released 2019 Price Transparency Report seeks to help answer this question. It features two independent studies that show how organizations’ performance with price transparency is not yet where it should be. In one study, HBI examined the websites of 272 hospitals and found that approximately 49% are not fully compliant with CMS’ 2019 […]
Hospitals Must Post Standard Charges by 2021
In a Final Rule released Friday, November 15th, CMS implemented the majority of its price transparency proposals but gave hospitals an extra year to comply. By January 1st, 2021, hospitals must: Post standard charges for all items and services, which include: Gross chargemaster prices Payer-specific negotiated rates (which must also be labeled by plan) Discounted […]
Will You Be an HBI Revenue Cycle Award Winner?
There’s still time to earn your revenue cycle team the recognition they deserve! HBI has extended its 2019 Revenue Cycle Study and Awards deadline due to high interest to Friday, December 13. Click here to download the survey. The survey lists the metrics that HBI will examine as indicators of revenue cycle health, and definitions and […]
4 Things Your Vendor Wishes You Knew
A 2019 HBI survey shows considerable churn in revenue cycle vendor partnerships over the past two years, with 33% of organizations expanding their outsourcing and 36% increasing insourcing. Some functions were about equally likely to be outsourced or insourced from 2017 through 2018: 38% of organizations outsourcing did so for denials and underpayments, but 33% […]
Share Your Charge and Claim Performance to Gain Industry Benchmarks
HBI is opening its 2019 Charge and Claim Performance Survey to gather updated industry comparisons on the following topics: Charge lag for clinic, inpatient, and hospital outpatient services Initial denials by root cause Final denial write-offs by root cause Inpatient status changes to observation Inpatient claim denials rebilled as observation services Electronic claims submission rates […]
4 Ways Utilization Management Staff Can Help Prevent Denials
Medical necessity denials continue to be a pain point for revenue cycle leaders, so much so that HBI members reported medical necessity as one of the top three root causes in 2016, 2017, and 2018. While denials and appeals are typically housed within the revenue cycle, there are many other teams—including clinical staff, utilization review, […]
Announcing the 2018 HBI Revenue Cycle Award Winners
We’re thrilled to announce that the winners of HBI’s 2018 Revenue Cycle Study and Awards survey are: Children’s Hospital of Philadelphia Nebraska Medicine Springhill Medical Center While all three have high-performing revenue cycles in common, they represent varied segments of the healthcare landscape. One is a nonprofit, pediatric health system in the East; another is […]
3 Ways Epic Users Tackle Denials
Date:
May 14, 2019
Category:
Revenue Cycle
Earlier this year, HBI hosted a roundtable discussion on analyzing and managing denials. This topic is of constant interest in HBI’s membership community, but best practices often vary by organization. For example, geography and size can shape payer and patient mix, staffing structures, and available technology—ultimately steering how revenue cycle leaders choose to handle denials. […]