By Nathan Turock – The revenue cycle management industry has spent a decade and billions of dollars building better billing engines, smarter clearinghouses, more sophisticated denial management tools, and most recently autonomous AI coders. And yet, 450 million claims are still denied every year in the United States.
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By John T. Bright – Medical billing inaccuracies remain a significant issue in the U.S. healthcare system, contributing to inefficiencies that negatively impact providers and patients. These errors not only affect the revenue cycle but also hinder operational productivity and reduce patient satisfaction.
By Sarah Mendiola – Claims denials are an issue that do not merely take a financial toll on healthcare providers; they create a ripple effect that delays payment, eats up staff time and resources, and worsens the patient experience.
By Belinda Cridge & Krithika Srivats – Facing both revenue and expense issues and exasperated by clinician shortages, hospitals are increasingly noting denials in the danger zone. “Danger zone” translation: Denials are increasingly higher than 10%, costing significant dollars in lost or delayed reimbursements.
By Devin Partida – Medical professionals prioritize giving people high-quality care and ensuring those patients get paid for that treatment via successful insurance claims. When a person deals with too many denials, their insurance plan becomes largely useless.
By Dan Schulte – Provider healthcare technology has progressed rapidly toward advancing clinical care. Despite the great advances in provider technology, innovation has been comparatively slow for most providers’ financial processes.
By Kaitlyn Houseman – When a patient’s insurance claim is denied, not only can your cash flow be affected, the relationship with your patient can be damaged as well. Some claim denials can be successfully appealed, but even when appeals succeed, they can…
By April Wilson – Are you tired of email spam and annoying internet ads? Well, it might be time to pay closer attention to them. That’s because digital marketers know something about human behavior that you probably don’t.
By Marty Callahan – The way payer trends are developing, you can expect your 2019 to be a year defined by denials. Last year, the Advisory Board’s biennial survey on revenue cycle found a median 350-bed hospital was likely to lose $3.5 million to increased denials writeoffs over the previous four years.