Denial Rework Costs Providers Roughly $118 Per Claim: 4 Takeaways

Denial rework costs providers roughly $118 per claim: 4 takeaways

  • June 26, 2017

A new analysis from Change Healthcare estimates that $262 billion, or 9%, of the nearly $3 trillion in claims submitted by hospitals last year were initially denied, according to  Becker’s Hospital CFO Report. Becker's Kelly Gooch cites four key takeaways for providers from the Change Healthcare Healthy Hospital Revenue Cycle Index report. Read the article

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$262B Of Total Hospital Charges In 2016 Initially Claim Denials

$262B of Total Hospital Charges in 2016 Initially Claim Denials

  • June 26, 2017

Nearly 9% of hospital medical claims in 2016, representing some $262 billion, were initially denied, RevCycle Intelligence reports. Citing the Change Healthcare Healthy Hospital Revenue Cycle Index published today, editor Jacqueline Belliveau notes that up to 3.3% of net patient revenue at a typical health system was at risk because of claims denials. Read the article

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Report: $262B In Healthcare Claims Initially Denied Last Year

Report: $262B in healthcare claims initially denied last year

  • June 26, 2017

A new study found an estimated 9% of claims submitted to payers last year were initially denied, Healthcare DIVE says. Writer Les Masterson, reporting on the newly issued Change Healthcare Healthy Hospital Revenue Cycle Index, says that figure represents $262 billion of the $3 trillion in charges submitted, adding that as much as 3.3% of net patient revenue, an average of $4.9 million per hospital, was “put at risk due to denials.” Read the article

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Change Healthcare Analysis: $262 Billion In Healthcare Claims Initially Denied In 2016

Change Healthcare Analysis: $262 Billion in Healthcare Claims Initially Denied in 2016

  • June 26, 2017

A new study by Change Healthcare shows that of $3 trillion in medical claims submitted last year, $262 billion worth were initially denied. And while an average of 63% of those claims were recoverable, appeals-related administrative costs totaled $8.6 billion. The good news is that providers can now see where they might be falling short by studying the Healthy Hospital Revenue Cycle Index, and take the steps needed to cut their losses. Read the news release

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McKesson Entity Now Change Healthcare

McKesson Entity Now Change Healthcare

  • May 6, 2017

McKesson Technology Solutions and Change Healthcare have merged to create a new healthcare information technology company. The new Change Healthcare includes all of Change Healthcare's businesses and the majority of McKesson Technology Solutions, and will employ about 15,000 people. Read the article

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The Perfect Pairing: Patient Access And Analytics

The perfect pairing: Patient access and analytics

  • March 28, 2017

While more providers are taking advantage of technology to improve front-end revenue cycle processes, analytics lags behind. But when applied to patient access, analytics can help identify issues with registration and eligibility accuracy, and reduce downstream denials. A recent article in Multibriefs outlines the benefits of using analytics to improve patient-access processes in a value-based world. Read the Article

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Patient Access And Revenue Cycle Analytics–Perfect Together, Yet Often Ignored

Patient Access and Revenue Cycle Analytics–Perfect Together, Yet Often Ignored

  • February 17, 2017

Why bringing analytics into patient access can radically improve a health system’s ability to get under the hood, understand what’s influencing financial performance, and improve the metrics that matter. By Jason Williams Some things go naturally together. Pen and paper. Thunder and lightning. Chocolate and peanut butter. And here’s a surprising one: patient access and revenue cycle analytics. You may have never thought of bringing the last two together, but no one thought of bringing chocolate and peanut butter together until it happened. Well, hospitals can make their revenue cycle much sweeter by applying revenue cycle analytics to improve patient…

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Authorization Playing Catch Up With Technology

Authorization Playing Catch Up With Technology

  • September 1, 2016

For as much as healthcare has been transformed by technology, there are still areas where it seems to be a game of catch up—such as obtaining pre-service authorization. While patients are becoming more involved in their own care, providers are increasingly incentivized to secure authorization from payers before procedures are performed to increase their likelihood of receiving payment. According to a June 2016 survey by HealthLeaders Media, pre-authorization is a consistent pain point that impacts leaders from the C-suite to operations and billing. A total of 158 surveys were completed by the Media Council, which consists of senior, clinical, operations,…

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Fixing Healthcare’s Broken Pre-Authorization Screening & Verification Model

Fixing Healthcare’s Broken Pre-Authorization Screening & Verification Model

  • June 27, 2016

By David Dyke Among the processes that influence the healthcare revenue cycle, pre-authorization stands out—but not in a good way. It lacks the foundation of a widely-adopted electronic data exchange, resulting in repeated manual, ad hoc methods of securing and confirming payer approval for non-emergency medical services. And, all too often, there’s no centralized responsibility for obtaining pre-authorizations, with the necessary tasks scattered across even the most integrated of care delivery networks and, within those networks, even across various types of service. It’s time to take a closer look at the current state of pre-authorization and ways in which existing…

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