Denial Management


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..

How do hospitals ensure they get paid? Patient access processes need to be streamlined, consistent, and smart in order to maintain healthy hospital revenue…

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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.

In addition to the mounting reporting administrative tasks on providers, other hospital revenue cycle management challenges threaten financial health include billing disputes and prolonged…

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Do Payers Use Utilization Management to Their Advantage to Deny Claims?

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

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…

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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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Improve Your Healthcare Organization’s Claims Denial Management Processes

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. 

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…

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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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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.