Financial Management

Staying one step ahead: How data and analytics can help predict patient responsibility and improve collections

Posted on Feb 11 2014 by

There aren’t too many situations in which an individual purchases a product or service, but is NOT asked to pay for it right away. Healthcare, however, is somewhat unique in that regard, often avoiding a retail-based experience where patients receive service, but pay quite some time later, whether in full or the balance. Not surprisingly, […]

Revenue Cycle Myths: Realistic Ways to Increase Reimbursement in an Era of Value-Based Care

Posted on Feb 07 2014 by

With the rapidly changing healthcare environment, many organizations are taking a hard look at their revenue cycle, seeking proactive ways to enhance both efficiency and performance in the era of value-based care. While the need to improve is clear, the opportunities for improvement may be obscured by myth and misperception. For example, consider the following […]

6 Healthcare Business Trends to Watch in 2014

Posted on Jan 28 2014 by

With the dawn of the New Year, we’re facing some of the biggest, most important changes in recent healthcare history. Not only is the massive ICD-10 implementation upon us, but Meaningful Use initiatives continue to prevail. In addition, six more emerging trends promise to have a significant impact on the way healthcare organizations approach business […]

Take control of the reimbursement process: Leverage data and analytics to elevate payer contract performance

Posted on Jan 16 2014 by

By all accounts, healthcare reimbursement is complex. Given the highly specific contract terms between thousands of providers and payers, there are bound to be situations where payer compliance falters and payments are not accurate. In fact, national payers make approximately 500 payer policy changes a year, which only adds to the complexity. As organizations strive […]

Where’s the data? Realizing your revenue cycle’s true potential

Posted on Oct 31 2013 by

Remember those commercials for the hamburger chain in the mid-1980’s? An elderly lady angrily shouted, “Where’s the beef?” in response to seeing a tiny burger on a large, fluffy bun. If that same creative concept were applied to healthcare today, perhaps the lady would proclaim, “Where’s the data?” when looking at the revenue cycle. While […]

Catching Misclassified Accounts Early Pays Off

Posted on Oct 22 2013 by

Sometimes it’s all in the cards. And, in the end, it’s usually not a winning hand for the healthcare organization. In this case, the “card” is the patient’s insurance coverage and the “hand” is the increasing amount of bad debt that can be avoided. For example, a patient presents his or her insurance card at […]

Patient Experience and HIX: An Underexplored Connection

Posted on Oct 03 2013 by

Americans who do not currently receive health insurance through their employers or a government program such as Medicaid or Medicare are now required to obtain insurance coverage or pay a penalty tax per the Affordable Care Act’s individual health insurance coverage mandate. These consumers can go to newly created health insurance exchanges (HIX) — offered […]

Putting the patient first: Developing personalized payment plans for compassionate patient collections

Posted on Sep 18 2013 by

We live in a choice-based society. Every day we are at liberty to make a myriad of choices. like where we live, where our kids go to school, what to eat, whether to exercise, which car we drive or what movie to see. This era of consumerism also means we have choices for healthcare. And […]

Improving financial health by embracing change: Q&A with Dan Buell

Posted on Aug 28 2013 by

Change is the norm in healthcare. Changes in technology, information, staffing patterns, patient mix, payment and reimbursement are constant. Even so, healthcare organizations that remain agile can effectively navigate this flux to realize enhanced performance and a better patient experience. We’ve asked Dan Buell, general manager at Experian Healthcare, to share his thoughts on what’s […]