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Private Medicare Claims Denials are Common – What Providers Can Do About It

Private Medicare Claims Denials are Common – What Providers Can Do About It

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...
New Healthcare Practice? How to Optimize Your RCM

New Healthcare Practice? How to Optimize Your RCM

Feb 21, 2020 | Revenue Cycle Management Solutions

Providing outstanding medical services is at the very heart of your mission and vision.  However, actually treating patients is just one part of running a new medical practice. The rest is business “stuff” that takes up a lot of time, and can quite frankly be...
How to Optimize Revenue Cycle Management

How to Optimize Revenue Cycle Management

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...
7 Most Common Reasons for Denied Claims

7 Most Common Reasons for Denied Claims

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%....
Robotic Process Automation Revolutionizes the Healthcare Revenue Cycle

Robotic Process Automation Revolutionizes the Healthcare Revenue Cycle

Sep 3, 2019 | Revenue Cycle Management Solutions

Part 1 of 2: Automating No Response claims, payment posting, and charge entry. Artificial Intelligence (AI) has fast become a leading disruptor in the healthcare market and has entered the vernacular of most executives. AI is an umbrella term for a machine’s...
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