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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RelayHealth Financial Debuts Healthy Hospital Program To Help Hospitals Identify Opportunities To Speed Revenue

RelayHealth Financial Debuts Healthy Hospital Program to Help Hospitals Identify Opportunities to Speed Revenue

  • February 17, 2017

On Monday at HIMSS17 in Orlando, RelayHealth Financial will unveil its new Healthy Hospital Index, an online service that allows hospitals to conduct a confidential assessment of their revenue cycle performance. Now, instead of trying to gauge financial performance in a vacuum–with no visibility into relevant national and regional KPIs and trends–financial executives can use Healthy Hospital’s analytics to benchmark their organization’s performance against that of peers. By simply entering some details about their revenue cycle performance, a customized “revenue health index” is generated with a comparative ranking of their hospital’s financial well-being. These insights can then be used to…

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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

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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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Two New Federal Interoperability Rules: What You Need To Know

Two New Federal Interoperability Rules: What You Need to Know

  • January 12, 2017

Federal agencies finalized two new rulings aimed at accelerating the pace of interoperability in health IT.  The ONC just released its 2017 Interoperability Standards Advisory and final rulings were made on MACRA. In the first of a series of white papers on interop policy, we review what these regulations mean for the industry. Taken together, the rulings demonstrate the government’s commitment to pushing the industry towards a fully open and connected health information infrastructure. 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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