Denial Management

Top Signs You Need a Denial Management Solution

Now is the time to become more proactive with your denial management efforts. It is no longer a best practice to stamp the claim form with “APPEAL” and send it back in. More and more, revenue cycle teams are seeking a strong denial management solution.

Winning the Battle: Hospital Patient Access Best Practices

What are some hospital patient access best solutions?  In a nutshell, smart technology, a financial focus, and staff training in a culture that puts patients’ needs first. The devil is in the details, so we’ve prepared this comprehensive overview to help you decrease denials, shorten A/R days, and collect more up front at point of service.

Insurance Denials Continuing Challenge for Hospital RCM Teams

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.

Smart Patient Access Reduces Hospital Debt & Improves Clean Claims Rate

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.

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.

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.