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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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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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

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HealthLeaders Survey Reveals Pre-Auth Pain Points, Ways To Streamline Authorization

HealthLeaders Survey Reveals Pre-Auth Pain Points, Ways to Streamline Authorization

  • October 21, 2016

Pre-service authorization is a tedious, time consuming, and costly process for most providers. And issues related to pre-authorization are a major source of claims denials.

Those are just some of the pre-authorization pain points reported by HealthLeaders Media in a new survey of 158 senior clinical, operations, marketing, and financial leaders from non-profit and for-profit providers nationwide.

The study, commissioned by RelayHealth Financial, ranks pre-service authorization pain points and helps identify areas where improved processes and technology could help streamline payment and reduce denials.

Read the research

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RelayClearance Authorization Surpasses 635,000 Policy Screening Rules From 549 Payers

RelayClearance Authorization Surpasses 635,000 Policy Screening Rules from 549 Payers

  • October 4, 2016

Today RelayHealth Financial announced that its RelayClearance Authorization solution now includes more than 635,000 payer-specific authorization policy screening rules from 549 commercial, managed care, and government health plans. That means providers using RelayClearance Authorization have access to updated screening rules from payers covering more than 90% of covered lives. Read the news release

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