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Unwinding Medicaid Continuous Coverage: Understanding the Importance of a Solid Eligibility Verification Strategy and PBE

This is an in-depth look at Medicaid unwinding, including valuable tips and best practices for staying on track during the Medicaid unwinding process. The importance of having a solid system in place for verifying patients’ eligibility and how solutions like SSI’s PBE can help protect against rejections and denials related to eligibility is also addressed.

What Hospitals Need to Know About Prior Authorization in 2023: Industry Updates

From the CMS proposed rule for Advancing Interoperability and Improving Prior Authorizations to gold carding & state programs, here’s what hospitals need to know about Prior Authorizations in 2023.

Reboot Your Revenue Cycle: Get Proactive with Prior Authorization Automation [HFMA Webinar Key Takeaways]

In a recent HFMA webinar, David Mistkawi, VP of Access Management Solutions at The SSI Group, LLC (SSI) and Tyler Wince, Chief Product Officer at Myndshft, discussed the critical need for improving the prior authorization/pre-certification process and why automation is such a game changer. Here is a list of the top 5 takeaways from that webinar.

SSI Wins Oracle Cerner 2022 Collaboration Award

SSI is pleased to announce that we were named the 2022 Collaboration Award Winner at the recent Oracle Cerner Health Conference. This award recognizes a partner who demonstrates strong cooperation and a commitment to meet client expectations…

Rising Paper Statement Costs and the Switch to Mobile Patient Payments [Infographic]

Has your cost to run paper patient statements significantly increased in the past six months? If you answered yes, you’re not alone. What’s driving up the price, and what can be done to drive more patients to pay via mobile?

Infographic: Get Out of the Denial Danger Zone

With claim denials on the rise and nearing the “danger zone” at many hospitals, it’s important to leverage all the tools available to help you identify, manage, and ultimately prevent as many denials as possible. This infographic explores the impact and cost of denials, along with a smarter strategy for how to win at denial management.

What’s Top-of-Mind for Revenue Cycle Leaders in 2022

After attending the most popular healthcare and Revenue Cycle Management (RCM) conferences of the year, including HIMSS, Becker’s, and HFMA, we have gleaned several key insights. Here’s a quick mid-year recap of the five most talked about issues.

Above and Beyond at HFMA 2022. Say Hi to SSI!

With the premier event for healthcare finance, the 2022 HFMA Annual Conference, right around the corner, there will be plenty of opportunities to glean insights from experts and talk shop with industry leaders. This year’s conference theme is Above and Beyond, as it relates to the Cost-Effectiveness of Health initiative. Discover how SSI is uniquely aligned with this theme.

Q&A with Revenue Cycle Expert on Key Denial Management Strategies [SSI Claims Denial Management Series: Part 3 of 3]

RCM expert Lori Brocato shares key strategies to help you and your organization make improvements in denials management.

The Five Most Common Types of Medical Claim Denials [SSI Claims Denial Management Series: Part 2 of 3]

Medical claim denials are a constant headache that negatively affects hospital and health provider revenue, cash flow, and operational efficiency. Fortunately, we can avoid many denied claims with the right expertise and processes. While it’s impossible to eliminate denials 100%, improving your understanding of and preparation for the most common types can help eliminate the chance of them ever occurring in the first place and substantially impact your bottom line. Let’s take a look at the top five types of denials in healthcare starting with eligibility-related denials.