Claim Status

Hospital Revenue Cycle Threatened by Administrative Tasks and More

In addition to the mounting reporting administrative tasks on providers, other hospital revenue cycle management challenges threaten financial health include billing disputes and prolonged A/R days. Learn what hospitals can do to improve clean claims rates, get paid faster, and mitigate the risk of legal actions.

How to Prepare for CMS Audits to Mitigate Risk

Medical providers need to stay current on the latest updates and know what type of audits to expect and when. Join us as we review the latest news surrounding CMS audits and review the best tips you can take to be prepared.

Improving Hospital Claims Denials Management

What can hospitals do to improve their claims denials management process? We review some facts about claims denials, and share valuable advice as to how hospitals should address the issue head-on.

Improving Hospital Claim Collection Rates

Regarding claims management, the holy grail for hospitals continues to be a high clean claim rate… but how do you get there?  What KPIs — Key Performance Indicators — does your revenue cycle team follow?  Is the clinical side dialed into the process?  We take a look at some recommendations in this article.

How Hospital Billing and Claims Management Processes Affect Revenue

Hospital billing and claims management processes have a clear and direct impact on the financial health of an organization. However, oftentimes healthcare executives blame poor performance on external factors, rather than analyzing internally. We take a deeper look at this issue and how hospitals can improve their practices to increase revenue. 

Hospital Claims Denial Management Solutions

Denial and claims management are key focus areas in the hospital revenue cycle process.  While traditionally thought of as a back-end focus area, more hospitals are taking a proactive approach to identifying possible problems up front.