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
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
McKesson's RelayHealth Financial has partnered with the revenue recovery service provider, Emergency Recovery Inc. (ERI), to help providers recover unpaid fees. ERI will handle recovery efforts by directly working with the insurance companies, allowing providers to preserve positive relationships with patients. Read the article
A new service offered by RelayHealth Financial and Emergency Recovery Incorporated (ERI) will help hospitals recover funds that are underpaid or were deemed unrecoverable. The service allows hospitals to collect these funds without up-front fees or patient contact. Read the article
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
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
"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
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.
RelayClearance Authorization now includes more than 635,000 payer-specific authorization policy screening rules from 549 commercial, managed care, and government health plans. The solution helps streamline prior authorization processes in real time. Read the article
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