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7 Strategies to Prevent Claims Denials

We operate in an already complicated reimbursements environment, so anything we can do to minimize the constant threat of denials is going to help the entire revenue cycle. Becker’s Hospital Review produced a helpful webinar discussing strategies to prevent claims denials that can be accessed here. In an article summing up the presentation, Becker’s distills…

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Out of the Trenches in the Battle Over Bank Customer Data

Fintechs and banks have been at odds with one another over customer information since the first moment that someone somewhere decided “fintech” was an actual word. American Banker reports that the icy relationship may be thawing. Fintechs have been arguing that they need to access bank customer account data to provide a variety of services,…

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Fee-For-Service Healthcare Payments – Shrinking

An article on the HealthExec website describes a Health Care Payment Learning and Action Network (LAN) report recently released, showing that 43 percent of payments to health systems came from traditional fee-for-service (FFS) payment models in 2016. That’s down from 62 percent the year before. Meanwhile, alternative payment models’ (APMs) share increased from 23 percent to 29 percent. While…

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Selling a Latte For $5; Collecting Only 50¢ at Time of Purchase …

Sometimes it’s instructive to remind ourselves just how “different” the world of health care payments can be. Consider Dr. Andrew L. Pecora’s Starbucks metaphor in an article entitled The Quirky Way Physicians Are Paid: Imagine a hypothetical board meeting at Starbucks Corporation where a newly hired CEO tells the board how he intends to increase same-store…

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Feel the Pain: Paper Is Hurting All Healthcare Stakeholders

The Trends in Healthcare Payments Seventh Annual Report: 2016, available for free download – offers a look at how delaying the inevitable electronification of payments at all levels of healthcare transactions is costly on many levels to healthcare providers. Consider the following facts from a post at at AJMC: 88% of providers reported that they received…

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The Payments & Financial Services World is in Vegas, Baby

It’s advertised as “The World’s Largest Payments & Financial Services Innovation Event,” and it’s taking place right now (October 22-25) in Las Vegas – – the 2017 Money20/20 event expects 11,000+ attendees, including more than 1,700 CEOs and Presidents, from 4,500 companies and 85 countries. Their agenda is comprehensive and includes themes like PAYMENTS, BANKING, COMMERCE, SECURITY,…

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Becker “Power Panel” Makes 5 Key Observations on Managing RCM

Attendees at the Becker’s Hospital Review 3rd Annual Health IT + Revenue Cycle Conference in Chicago were treated to a panel of healthcare heavyweights discussing revenue cycle performance. The distinguished group included Vice President of Revenue Cycle Management at San Diego-based Sharp HealthCare Gerilynn Sevenikar; Vice President of Product Management and Revenue Cycle Analytics at…

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The “New” Amazon Cloud? Old News to Banks

It’s no surprise, as reported in The Wall Street Journal, and discussed in Fortune magazine, that Amazon Web Services (AWS) has been pitching its public cloud services to banks. Amazon has spent the last 4-5 years trying to get security-conscious industries comfortable with the idea of using its shared computing and storage infrastructure. But are banks new…

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Want More Payment Data? How About 2243?

The PYMNTS-Ingo Money Disbursement Satisfaction Index™ is an impressive research document summarizing payments. If you’re a banker, product manager, solution provider, or anyone interested in payments, the 2,243 data points might interest you! There is certainly an anti-check tone to the initial sections, but overall the data is very interesting. Check out pages 8-21 for a…

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Payers Pressuring Providers for Robotic Process Automation (RPA)

A deep dive into revenue cycle issues in an article by Healthcare Informatics reveals a need for scale and cost reduction through process automation. “Commercial payers want more automation. The biggest movement we’ve seen in the past 12 months is a willingness to move ahead with electronic processing for pre-authorization for service. More recently, we’re seeing…

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