Blog Posts by Tag: Hospital
6 Strategies to Support Patients and Optimize Revenue During the Medicaid Continuous Enrollment Unwinding
During the COVID Public Health Emergency period, the Medicaid Continuous Enrollment Provision was established; under this provision, Medicaid could not disenroll its members, even if they technically no longer met eligibility requirements. As a result, during the pandemic between 2020 and 2022, Medicaid enrollment increased by 25%. But the provision expired on March 31, 2023, and states have...
Why HIMSS 2023 Matters
Discover insights from the annual conference that can impact your organization. HIMSS 23 is right around the corner, running April 17-21 in Chicago, drawing attendees under the banner of healthcare information and technology. Although it is seen primarily as an event for hospitals and health systems, consultants, and healthcare IT providers, there are reasons to pay attention even if you don’t...
Outsourcing Your Billing Processes: When does it make sense for outpatient diagnostic services?
From IT and EHR support to back-office functions, hospitals are increasingly turning to business process outsourcing (BPO) to relieve staffing and financial pressures. Within the hospital ecosystem – where technology and processes are typically optimized for high-acuity clinical encounters – outpatient and ancillary services departments can find it difficult to overcome their unique business...
The Link Between Patient Satisfaction, Billing, and Profitability
A patient’s billing experience is the last impression that influences their satisfaction with their medical care team. Even for diagnostic providers without direct patient contact, a dissatisfied patient can result in delayed payments, patient complaints, and loss of referrals. Satisfaction impacts the patient’s probability of returning to the provider and paying their medical bill. So, what can...
Quick Wins to Mitigate Hospital Staffing Challenges
In its annual survey, the American College of Healthcare Executives (ACHE) asked community hospital CEOs to rank 11 issues facing their organizations. Personnel and staffing shortages leapt to the forefront – ranked as the number-one concern for the first time since 2004. Equally noteworthy, staffing shortages skyrocketed from an average ranking of 4.6 of 11 in 2019 to 1.6 in 2021. RNs topped the...
Top 5 Blog Posts of 2022
As always, XiFin's Beyond Billing blog kept abreast of key issues and hot topics within the healthcare industry, staying especially in tune with legislative proposals that can potentially impact reimbursement and revenue.Here are the top blogs of 2022, with far-ranging topics that include PAMA and SALSA, the No Surprises Act, digital pathology, and revenue cycle management. 1. Laboratory Test...
No Surprises Act: Examining the Independent Dispute Resolution Process
The Final Rule implementing the No Surprises Act provides new guidance for the payor-provider independent dispute resolution (IDR) process. The Final Rule directs certified IDR entities to consider the qualifying payment amount as well as certain other specific factors when resolving out-of-network rate disputes and requires payors to be more transparent about changes to codes or modifiers that...
No Surprises Act: 4 Key Steps to Providing Good Faith Estimates
The No Surprises Act protects patients from receiving a surprise medical bill by prohibiting balance billing and requiring providers to provide good faith estimates (GFE) of services. A GFE should be provided to all patients who are uninsured and should include all services expected to be provided by both primary and co-providers.While the legislation went into effect on January 1, 2021, HHS did...
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