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...
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%....
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...
Jul 11, 2018 | Revenue Cycle Management Solutions
As with your patient’s health, prevention is key to avoiding the claim denials that have a serious negative effect on your bottom line. Payers typically don’t pay you any sooner than they have to, and if you give them an excuse to deny your claim, you can add two or...
Apr 16, 2018 | Revenue Cycle Management Solutions
Keys to improve clinical documentation Primary care providers in outpatient settings, where patient encounter volumes tend to be higher and more routine, offer an ideal avenue for understanding and influencing overall patient health. Continue Reading this...
