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.

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…

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Healthcare Payers and Providers Collaborate to Improve Outcomes

Value-based incentives and other policies of recent years have forced healthcare payers and providers to work together more closely and communicate more often. Such policies include aspects such as risk-sharing financial arrangements and programs aimed at improving the patient experience. Join us as we explore the dynamics of this relationship that can improve profitability. 

Value-based incentives and other policies of recent years have forced healthcare payers and providers to work together more closely and communicate more often. Such policies include …

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Chattanooga

09.26.17 • Regional User Group

Join us for our Regional User Group: Chattanooga – an educational experience and memorable, scenic getaway. Get in the heart of downtown Chattanooga with spectacular views of Lookout Mountain, this cutting-edge event delivers the perfect…

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St. Louis

10.16.17 • Regional User Group

Join us for our Regional User Group: St. Louis – an educational experience and memorable historic getaway. Set in the heart of the downtown entertainment district with views of the Gateway Arch, this cutting-edge event delivers…

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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 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…

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Healthcare Payers Uncertainty Lingers Following Demise of AHCA

How are healthcare payers affected by the demise of the recent Republican healthcare bill? Let’s review how payers are impacted by this and other legislative changes, and the reemergence of talk about a single-payer healthcare system.

How are healthcare payers affected by the demise of the recent Republican healthcare bill? Let’s review how payers are impacted by this and other legislative changes, and the reemergence of talk about a single-payer healthcare system….

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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.

Scottsdale

SSI Regional User Group Scottsdale, AZ – Photo Gallery See What You...

Claims Denial Management Evolution

Claims denial management tools are continuing to evolve with good records for positive impact on the hospital revenue cycle process. Why then are so few hospitals implementing these solutions?

New Claims Denial Management Solutions

Two recent healthcare industry studies show how claims denial management and related analytics solutions are helping to greatly improve hospital cash flow and collection results, as the industry transitions to new goals and policies being set by CMS and related legislation. We review the common challenges and survey results

Hospital Claims Processing Challenges & Solutions

When it comes to hospital claims processing challenges smart technology can only get you so far — the rest depends on a patient centric approach. And, HHS has designed a “challenge” contest, in collaboration with six hospital system, to find not only solutions for easier to understand patient bills but also to reward innovators who will transform the medical billing system itself.