Denial Management
A study from Eliciting Insights shows that, while adoption of revenue cycle technology is brisk, some medical facilities are hesitant to adopt automated remittance posting in spite of its proven ability to solidify the bottom line in challenging times. Based on survey responses from 179 hospital revenue cycle executives, here are some takeaways as reported on Becker’s Hospital CFO…
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Is it important for financial institutions to deploy the best possible tools to fight fraud? Consider this: According to LexisNexis Risk Solutions in its 2018 True Cost of Fraud study for the financial-services sector, for every dollar of fraud a financial institution absorbs, it drains an additional $2.92 in associated costs — that’s up 9% from…
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An article produced by Intel outlines the ways Artificial Intelligence — AI — solutions can be deployed while using an organization’s existing technological infrastructure. The result is maximum gain with minimum expense and downtime. Watch this video for an interesting perspective on AI utilization. Intel’s article outlines three key areas where enterprises are experimenting with AI…
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In an environment where value-based reimbursement performance presents challenges to even the most “metropolitan” of hospitals and healthcare facilities, rural hospitals find themselves facing challenges heightened by their specific set of circumstances. As RevCycleIntelligence reports: Despite serving as a critical healthcare safety net for millions of patients, many rural hospitals are constantly on the brink…
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Becker’s Hospital CFO Report recently gathered and posted 4 revenue cycle management tips that — no surprise — emphasize many of the themes we concentrate on the most: Investment in a robust claim denials program. Machine learning to scrub claims. Great emphasis on security. Addressing the new consumerism in healthcare by making sure persons “shopping” for healthcare…
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Becker’s ASC Review offers a concise guide to some of the most common patient collections mistakes made by Healthcare providers. In a healthcare environment that is becoming more and more “retail” and dependent upon the patient’s financial responsibility, it’s critical to lock down the basics of patient billing and collections, from beginning to end. Patients…
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Healthcare IT News reports communicates an AI and analytics path for healthcare organizations, but as you read, there is a bit of a paradox at work… Expect next-generation revenue cycle management systems to boast quite advanced analytics, said Kellye Sherbet, president of RCM services at Aprima Medical Software, which markets EHR, practice management and revenue…
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Accuracy Levels Exceed 99.9% for Healthcare Payments and Remittances Las Vegas, NV, HFMA ANI Conference, June 25, 2018 – OrboGraph, a premier developer and supplier of intelligent electronic/paper automation solutions in healthcare revenue cycle management (RCM), as well as recognition solutions, image validation and check fraud detection for the U.S. check processing market, announces that the…
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THE TECHNOLOGY HEADLINES features an article examining OrboGraph’s utilization of AI technologies and the effect it’s had the check and healthcare lines of the business. With OrboGraph’s main focus on automating payments, the company looks at AI as a means to improve efficiencies into the entire payment mix and to facilitate electronification of payments, which ultimately…
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Of course, the best way to handle claim denials is to prevent them in the first place. That’s why this recent list of denial prevention strategies from Becker’s is something no denial manager should miss. We believe though that it has a problem. Boiling down denials to a list like this obscures the fact that…
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