May 11, 2022 | Blog, News, Revenue Cycle Management Solutions
The Problem and Scope A recent headline in USAToday caught our eye: “Watchdog: Private Medicare plans denied nearly 1 in 5 claims that should have been paid.”1 The “watchdog” in question, the Office of the Inspector General (OIG) of the US government’s Department of...
Dec 31, 2019 | Revenue Cycle Management Solutions
When you’re running a hospital or healthcare practice, your primary goal is to ensure that your patients are receiving the treatment they need. The truth about it, though, is that in order to keep things running smoothly and to allow the doctors to continue to provide...
Oct 18, 2019 | Revenue Cycle Management Solutions
According to recent data released by the Kaiser Family Foundation, a non-profit focused on national health issues, 18% of in-network claims were denied by payers in 2017. Denial rates for specific issuers varied around that average from less than 1% to more than 40%....
Oct 1, 2018 | Revenue Cycle Management Solutions
Managing denials can sap limited medical practice resources and cash flow. Establishing an effective denial prevention program is crucial to the long-term success of your practice. The good news is through preparation, training, and education, practices can...
Aug 30, 2018 | Revenue Cycle Management Solutions
Revenue Cycle Roadmap – Preparing for Value Based Care Stabilize and optimize your practice workflows and operations now in order to prepare for value based payments. Institute financial KPIs and align your revenue cycle goals with benchmark standards. Continue...