Authorization Playing Catch Up With Technology

Authorization Playing Catch Up With Technology

  • September 1, 2016

Pre-authorization is time consuming, costly, can delay care, and is a major source of claims denials. Those are just a few of the pre-authorization pain points reported in a survey of C-suite provider executives nationwide. This white paper reports and ranks pre-authorization problems, delves into the issues, and provides a path forward  to improve pre-authorization to create more automated and streamlined system. Read now or download and read later

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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

Pre-authorizations can be costly, time-consuming, frustrating for all involved, and can account for a large percentage of denials. It's no surprise that health care networks are increasingly turning to technology to automate the process. Fixing Healthcare’s Broken Pre-Authorization Screening & Verification Model lays out how automation and other necessary components can transform the pre-auth process to be faster, more efficient, and more economical. Read now or download and read later

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Ten Steps To Reduce Denials, Win More  Appeals, And Improve Hospital Performance

Ten Steps to Reduce Denials, Win More Appeals, and Improve Hospital Performance

  • June 24, 2016

Providers face tremendous pressure to reduce denials. Although many issues can lead to denials, there’s one area that denial management programs can easily overlook: issues related to medical necessity. This white paper focuses on 10 gaps that can cause medical necessity denials and how to address them, from beefing up emergency department case management to improving level of care management. Read now or download and read later

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Journey To Value: The State Of Value-Based Reimbursement In 2016

Journey to Value: The State of Value-Based Reimbursement in 2016

  • June 13, 2016

There's no turning back from value-based care and value-based reimbursement. Payers are 58% along the continuum to VBR, up from 48% in 2014. And Providers are now 50% down the road to value. That's according to a national study of 465 payers and hospitals conducted by ORC International and commissioned by McKesson. Yet despite tremendous growth in capitation/global payments, pay for performance, and episode of care/bundled payments, many payers and providers still face obstacles in the transition to value-based care. See where healthcare stands in its journey to value and what it means for the industry in Journey to Value: The State…

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Five Strategies For Maintaining Healthy Revenue During An EMR Transition

Five Strategies for Maintaining Healthy Revenue During An EMR Transition

  • February 29, 2016

One of the biggest mistakes when transitioning to EMR is not treating clinical and financial systems as inseparable. That costs providers millions, even tens of millions, in revenue lost or delayed. Follow the five strategies in this white paper to ensure your organization's revenue doesn't take a big hit during your next EMR transition. Read now or download and read later

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Beware The EHR “Ripple Effect”

Beware the EHR “Ripple Effect”

  • February 29, 2016

When implementing new EHR systems, finance departments often see an increase in accounts receivable days and claim denials, and as a result, a dip in cash flow. This "ripple effect" is a potential pitfall when moving to a new EHR. This white paper documents five steps providers can take when gearing up for and implementing a new EHR system. Read now or download and read later

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Getting In Front Of The Problem: How Can Hospitals Empower Denial Prevention And Management?

Getting in Front of the Problem: How Can Hospitals Empower Denial Prevention and Management?

  • November 22, 2015

Claim denials are a significant financial drain, costing healthcare organizations roughly 3% of their net revenue stream. The white paper, Getting in Front of the Problem: How Can Hospitals Empower Denial Prevention and Management? delves into three key strategies for reducing denials -- and how hospitals have used them effectively. Learn how to take steps to prevent denials on the front-end, manage denials through efficient workflows and processes, and analyze data for common causes of denials. Read now or download and read later

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Five Ways To Improve Medi-Cal Claims Processing

Five Ways to Improve Medi-Cal Claims Processing

  • September 23, 2015

About 12 million Californians are enrolled in Medi-Cal, the state’s Medicaid program. But many providers find that Medi-Cal claims are challenging to manage, leading to claim denials and lost or delayed revenue. The good news: RelayHealth Financial’s research revealed five actions hospitals can take to improve Medi-Cal claim processing, speed reimbursement, and reduce denial rates. Learn more about these five actions and how to implement them. Read now or download and read later

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Revenue Cycle Payment Clarity

Revenue Cycle Payment Clarity

  • April 10, 2015

The increasing prevalence of high-deductible health plans, along with higher patient out-of-pocket expenses, is leaving more and more patients unable to pay their bills and providers unsure about reimbursement. To maintain payment flow, providers need visibility into when and how much they will be paid, and by whom. They also need to get better at navigating obstacles to payment. This Revenue Cycle Payment Clarity white paper describes how providers can implement the tools and processes to help provide payment clarity and accelerate revenue. Read now or download and read later

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The Top 10 Things Payers And Providers Can Do Today To Start Aligning With VBR Tomorrow

The Top 10 Things Payers and Providers Can Do Today to Start Aligning with VBR Tomorrow

  • March 11, 2015

CMS set a goal of having value-based payments account for 50% of Medicare reimbursement by 2018. It's equally ambitious and daunting for many payers. But in this new white paper, The Top 10 Things Payers and Providers Can Do Today to Start Aligning with VBR Tomorrow, McKesson offers a proven 10-step plan that can help payers and providers work together to accelerate their journey to value and improve their odds of achieving these regulatory goals. Read now or download and read later

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