Becker's Healthcare August 25, 2023
Prior authorization, government regulations and payer relationships are among the challenges three Healthcare Financial Management Association MAP-award-winning revenue cycle leaders told Becker’s they are facing right now.
John Maschger, vice president of revenue cycle at Liberty (Mo.) Hospital, said the biggest challenge remains the “ever-changing complexities of successfully being reimbursed for the services we provide.”
“Of these, prior authorization has become increasingly difficult and can adversely affect patients through delays in treatment,” he said. “While we have greatly improved balance after insurance options for our patients, they often have difficulty understanding these other nuances of receiving care in our healthcare system.”
Brad Gibson, vice president of revenue cycle and treasurer of Houston-based University of Texas MD Anderson Cancer Center,...