Reinventing Claims Management For The Value-Based Era

Reinventing Claims Management for the Value-Based Era

  • February 16, 2017

Claim denials hurt both the bottom line and the morale of provider organizations. To reduce denials, providers need to adapt a systemic approach that blends claims management and denials management. Find out more in this Healthcare Scene article. Read the article

Read More
Ten Steps To Reduce Denials, Win More Appeals, And Improve Hospital Performance

Ten Steps to Reduce Denials, Win More Appeals, and Improve Hospital Performance

  • February 16, 2017

There's tremendous pressure on hospitals to reduce denial rates, and the problem is getting worse as claims processing becomes more complex. One way to reduce denials is to close common gaps that lead to medical necessity denials, which can account for as much as 5% of denials. CMSA Today shares a ten step process to that can have a quick and positive impact on your revenue cycle. Read the article

Read More
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

Read More
6 Experts Share Healthcare RCM Predictions For 2017

6 Experts Share Healthcare RCM Predictions for 2017

  • December 7, 2016

"We're on the verge of a digital Renaissance in healthcare," predicts a McKesson VP, when asked by Becker's Hospital CFO to look into the near future.  Six health care experts make their profound and practical predictions for revenue cycle management in 2017. Read the article

Read More
Authorization Playing Catch Up With Technology

Authorization Playing Catch Up With Technology

  • September 1, 2016

Pre-authorization is time consuming, costly, can delay care, and is a major source of claims denials. Those are just a few of the pre-authorization pain points reported in a survey of C-suite provider executives nationwide. This white paper reports and ranks pre-authorization problems, delves into the issues, and provides a path forward  to improve pre-authorization to create more automated and streamlined system. Read now or download and read later

Read More
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

Read More