The continual battle hospital RCM teams face with clams denials is costing US based healthcare systems $262 billion per year. What’s causing this and what can be done? Sometimes these may be cost based, and sometimes it has to do with a hospital’s own coding system and staff training for same. We take a look.
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How do hospitals ensure they get paid? Patient access processes need to be streamlined, consistent, and smart in order to maintain healthy hospital revenue cycle management. Combining intelligent patient access software with properly trained registration staff dramatically reduces errors, helping hospitals get paid.
When a hospital has a claim denied, that revenue can be lost. Forever. That is if appropriate actions are not taken promptly when claim denials occur.
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.
Utilization management is a review process used to evaluate the medical necessity and appropriateness of healthcare treatments and procedures ordered. What happens when patients are being denied access to essential treatment through this met
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.
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.
Successful management of claims denials is one of the most important aspects of a productive revenue cycle management process. Learn more about claims denial management and what steps your healthcare organization can take to improve this internal process.
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.
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.
Billing mistakes account for a significant source of lost revenue for hospitals, clinics, and providers annually. Learn about these common billing mistakes and how to avoid them with best practices and advanced claims management technology.