Revenue & Reimbursement

Healthcare reimbursement is payment that a hospital, diagnostic imaging facility, subspecialty department or healthcare providers receive for performing a service. This also includes individual radiologist or cardiologist reimbursement and billing and coding rules for submitting claims.

District of Columbia DC congress capitol hill

ACR among dozens of doc groups urging feds to forgo looming Medicare cuts

Congress paused planned sequester cuts for the first three months of 2022, but they'll starting hitting docs on April 1, imaging advocates noted. 

March 4, 2022

Heart attack patient’s $227K balance highlights inconsistent billing practices

A woman who was on the hook for nearly $227,000 in medical bills after suffering a heart attack and other complications had her balance wiped out by a medical charity waiver, Kaiser Health News reported. But that didn’t save Debbie Moehnke and her husband, Larry, the stress of mounting medical bills and calls from debt collectors, and the story highlights how inconsistent billing practices could impact other patients.

March 22, 2019

5 reactions to proposed 2018 Physician Fee Schedule

The comment period for the proposed Medicare Physician Fee Schedule (PFS) has closed, with policy and payment updates drawing a typically mixed reaction from stakeholders within the industry.

September 13, 2017

Q&A with Experian exec: Embrace payment plans before going to collections

Jason Considine, senior vice president of patient collections and engagement at Experian Health, argued at the Healthcare Financial Management Association (HFMA) conference in Orlando that providers should first rely on leveraging data and crafting flexible payment options before paying any contingency fees to collectors. He spoke with HealthExec about mistakes providers are making with their collection practices and what data they need to improve the process.

July 12, 2017

Q&A with TransUnion execs: Patients are the new payers

One of the most frequently discussed topics from the Healthcare Financial Management Association (HFMA) conference was the need to increase patient engagement when it comes to payment as out-of-pocket costs and deductibles continue to rise.

July 7, 2017

Providers won’t be able to avoid downside risk much longer

Among hundreds of healthcare finance professionals at a Healthcare Financial Management Association (HFMA) conference presentation, no one could say their systems were taking on downside risk above 5 percent of their total revenue. Francois de Brantes, MS, MBA, vice president and director of the Altarum Institute’s Center for Payment Innovation, said that needs to change.

July 3, 2017

HFMA 2017: 2 out of 3 patients don’t pay their hospitals bills in full

68 percent of patients with hospital bills under $500 didn’t pay off the full balance by the end of 2016, according a TransUnion Health study released at the Healthcare Financial Management Association (HFMA) conference in Orlando.

June 28, 2017

HFMA 2017: Patientco’s Alan Nalle on how predictive modeling can improve patient billing

Predictive modeling has been shown to help providers assess patient risk for a variety of conditions—which is how the vast majority of hospitals and health systems have been utilizing it.

June 23, 2017

Around the web

The recall includes specific lots of five different medical devices used to treat stroke and other neurovascular diseases.

The agency is urging healthcare providers to transition away from these devices and seek out alternatives. It is even working with other manufacturers to try and get similar products on the market as quickly as possible. 

Jeffrey Kuvin, MD, one of the leading voices behind efforts to create a new Board of Cardiovascular Medicine, spoke with Cardiovascular Business about where things stand today.

Trimed Popup
Trimed Popup