Rethinking Denials Management

Rethinking Denials Management

  • March 16, 2017

Most provider organizations take an administrative approach to managing claim denials. Maybe that’s why they’re not collecting as much as they should. It turns out that most denial management programs have several flaws that, if corrected, can help close the gap on the 90% of claim denials that are preventable. This white paper explores a new holistic approach to denials management that intersects financial and clinical factors. See how some of the most prevalent causes of denials can be isolated and eliminated more effectively. Read now or download and read later

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Health First Improves Front-End Revenue Cycle Processes, Employee Engagement

Health First Improves Front-End Revenue Cycle Processes, Employee Engagement

  • March 13, 2017

Health First, a fully integrated health system in Central Florida, struggled with a variety of challenges at the front-end of the revenue cycle. Up-front collections were on the low side, registration and eligibility errors had to be manually corrected downstream, and employees handling front patient access did not know if they were receiving accurate information, to name a few. The Health First quality assurance team needed a way to empower the Patient Access team to easily capture accurate and timely data, engage patients, and improve point-of-service collections. With the help of RelayClearance Plus and AhiQa, Health First implemented a unique approach…

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Healthcare RCM, Patient Collections Solutions Launch At HIMSS17

Healthcare RCM, Patient Collections Solutions Launch at HIMSS17

  • February 23, 2017

At HIMSS17, healthcare IT companies showcased a range of solutions to manage the changing landscape in healthcare reimbursement. McKesson launched the Healthy Hospital program, which uses analytical tools to benchmark hospital revenue cycles, as well as a payment assurance consulting program that uses data to develop value-based reimbursement strategies. The company also previewed a financial clearance tool that helps revenue cycle management staff manage patient collections with data, and a clinical clearance tool that makes medical record reviews more efficient. Read the article

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Patient Access And Analytics: Perfect Together But Often Ignored

Patient Access and Analytics: Perfect Together but Often Ignored

  • February 22, 2017

Morning Consult features an op-ed piece on an innovative topic: pairing patient access and revenue cycle analytics. Why would you want to do that? The piece makes a case for bringing them together to guide process improvements that would secure timely reimbursement from insurers and patients, and drill down to root causes of denials. The article also says pairing these two core revenue cycle processes could lead to significant savings -- potentially millions of dollars for a single facility. Read the article

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Making Metrics Matter At HIMSS17

Making Metrics Matter at HIMSS17

  • February 20, 2017

Today at HIMSS17 in Orlando, McKesson RelayHealth Financial took the wraps off of MyHealthyHospital.com, a unique program that lets hospital revenue cycle leaders benchmark their organization's fiscal fitness against peers nationwide. By simply entering their own hospital's data in the areas of Claim Quality, Reimbursement, Payment Velocity, and Productivity/Quality, visitors can learn if they are underperforming, on track, or exceeding averages in each revenue cycle area. They can use this information to identify areas for improvement that can improve revenue cycle performance. Watch the video to learn more about how RelayHealth Financial's revenue cycle expertise and claims database can help providers…

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Reinventing Claims Management For The Value-Based Era

Reinventing Claims Management for the Value-Based Era

  • February 17, 2017

Claim denials sap the life out of providers, leading to lost or delayed revenue, wasted time, and tons of frustration. And it's only getting worse as providers switch to more complex value-based payment models. To reduce denials, provider organizations need to evolve from putting out fires one denial at a time to a systemic approach that blends claims management and denials management into a holistic process. Doing so can have a significant impact on any provider organization’s bottom line. Learn more in this new paper, Reinventing Claims Management for the Value-Based Era. Read now or download and read later

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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

Providers don't usually think of patient access and revenue cycle analytics as a pair, but when you bring them together to guide process improvements, it can lead to significant savings -- potentially millions of dollars for a single facility. Here are just a few areas you can improve by pairing these to crucial pieces of the revenue cycle puzzle: Secure timely reimbursement from insurers and patients Reduce claims denials by drilling down to root causes Identify front-end registration and eligibility issues Learn more in this new guide, Patient Access and Revenue Cycle Analytics–Perfect Together, Yet Often Ignored. Read now or download and…

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