Healthcare providers face rising claim denials that drain millions from revenue, but advanced analytics and automation are offering a solution. By predicting high-risk claims, pinpointing root causes, ...

Revamping the claim denials process is at the top of most hospital CFOs’ minds in 2015. After all, effectively managing your claim denials can increase your organization’s revenue and collections rate ...

These high percentages underscore a significant opportunity for organizations to mitigate financial pressures amidst uncertain economic conditions and improve operational efficiency by implementing ...

RETURN ON PATIENT DOLLARS is where all the money is for providers, according to Elizabeth Woodcock, a speaker, author and consultant. Insurance follow up on claims that are denied, however, is a huge ...

Kimberly Scaccia, vice president of revenue cycle at Mercyhealth, outlines a methodical, multistep action plan for creating a denials management solution. There's so much noise around denials ...

Most organizations take an administrative approach to managing denials. Maybe that’s why they’re not collecting as much as they should. Few hospitals would admit to not having a denials management ...

The way your healthcare organization handles denials has a major impact on its bottom line. Most organizations have worklists or queues to work denials. Fewer have comprehensive denial management ...

Denial management teams must include all departments involved in the revenue cycle — the actions of one person in the process affect everyone. Organizations should consider whether they’re getting the ...

In a typical U.S. hospital system, the revenue cycle is under constant pressure. A significant portion of this pressure comes from denied claims, which was estimated to be a $262 billion problem ...

Few hospitals would admit to not having a denials management program, yet one in five claims for services already rendered is denied or delayed. 1 Denials erode the provider organization’s bottom line ...