Rethinking Denial Management

Rethinking Denial Management

  • February 1, 2017

Nearly two-thirds of denials are recoverable, and almost 90% are preventable. To accomplish this, provider organizations have to focus on the front end of the revenue cycle, such as registration and pre-service issues. They also need to address pre-auth denials from a holistic, organization-wide approach that includes the intersection of financial and clinical factors. Read the article

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Getting In Front Of The Problem: How Can Hospitals Empower Denial Prevention And Management?

Getting in Front of the Problem: How Can Hospitals Empower Denial Prevention and Management?

  • January 1, 2017

Claim denials are a significant financial drain, costing healthcare organizations roughly 3% of their net revenue stream. The white paper, Getting in Front of the Problem: How Can Hospitals Empower Denial Prevention and Management? delves into three key strategies for reducing denials -- and how hospitals have used them effectively. Learn how to take steps to prevent denials on the front-end, manage denials through efficient workflows and processes, and analyze data for common causes of denials. Read now or download and read later

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Five Ways To Improve Medi-Cal Claims Processing

Five Ways to Improve Medi-Cal Claims Processing

  • January 1, 2017

About 12 million Californians are enrolled in Medi-Cal, the state’s Medicaid program. But many providers find that Medi-Cal claims are challenging to manage, leading to claim denials and lost or delayed revenue. The good news: RelayHealth Financial’s research revealed five actions hospitals can take to improve Medi-Cal claim processing, speed reimbursement, and reduce denial rates. Learn more about these five actions and how to implement them. Read now or download and read later

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McKesson’s RelayHealth Teams With Emergency Recovery

McKesson’s RelayHealth Teams with Emergency Recovery

  • December 13, 2016

Hospitals dislike going after unpaid claims, especially when it means chasing down money from patients. So McKesson's RelayHealth Financial teamed up with Emergency Recovery Inc. to help providers find and recover millions in unrecovered revenue, without having to bother their patients. Read the article

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RelayHealth Financial Teams With ERI For Revenue Recovery Services

RelayHealth Financial Teams with ERI for Revenue Recovery Services

  • December 12, 2016

Today McKesson's RelayHealth Financial announced that it has teamed up with Emergency Recovery Inc. (ERI)  to provide revenue recovery services for its provider customers. The service can help providers find and recover millions in otherwise unrecovered revenue, without contacting patients or charging up-front fees. Read the news release

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McKesson’s RelayHealth Financial Automates Denied Claim Appeals

McKesson’s RelayHealth Financial automates denied claim appeals

  • June 27, 2016

Despite providers’ best efforts to submit clean claims, a substantial number still get denied. Now they can use RelayHealth Financial's RelayAssurance Appeals Assist, a new tool that helps providers quickly and easily identify, create, file, and track appeals for denied claims. Read the article

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