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Latest Blog Posts

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.

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.

Two Critical Revenue Cycle KPIs Your Organization Needs to Watch to Prevent Healthcare Denials [SSI Claims Denial Management Series: Part 1 of 3]

Stopping denials from happening altogether, on the front end of your revenue cycle, is a much better strategy than managing denials on the back end. Recent research shows hospital claim denial rates are nearing the “danger zone,” with average denial rates increasing over the past few years to between 6% and 13%. This blog post addresses the latest industry insights about these types of healthcare denials plus offers denial prevention strategies.

How SSI Simplifies Revenue Cycle Management

Without revenue cycle management, providers can’t make a living and healthcare organizations can’t remain in operation. Keep reading to explore the foundations of healthcare revenue cycle management, what makes it so complex, and the solutions that healthcare organizations should implement to achieve an effective revenue cycle management process based on a real-world example.

DDE v. EDI – Does Claims Submission Method Really Matter?

The ability to use Direct Data Entry (DDE) into Medicare Fiscal Intermediary Shared System (FISS) has been around for decades and is still widely used today. Even with the proliferation of Electronic Data Interchange (EDI) transactions that can be used instead, users still use DDE to manually enter, correct, adjust, or cancel Medicare transactions in FISS.

Accelerating COVID-19 Revenue Recovery with Analytics

Hospitals continue to struggle to regain baseline inpatient and outpatient volumes following the COVID-19 outbreak—and many anticipate that volumes won’t return to normal until July 2021, an American Hospital Association analysis shows.

It’s Not Too Late to Ramp Up Price Transparency Compliance

This paradigm shift demands that hospital revenue cycle departments reimagine the patient journey with an eye toward self-service, highly transparent, highly digital interactions. In a post-COVID environment, price transparency isn’t just about compliance.

Virtual Care During COVID-19: Making the Right Moves for Reimbursement

Telehealth visits could top 1 billion in 2020, with 900 million visits related to COVID-19 alone, a recent report predicts. But even as the Centers for Medicare & Medicaid Services broadens access to virtual care, navigating telehealth and e-visit reimbursement during the pandemic presents unique challenges for providers.