5 Common Patient Collections Mistakes – Are You Guilty of One or More?

July 19, 2018 / 0 Comments

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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The Promises of AI & Advanced Analytics

July 6, 2018 / 0 Comments

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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OrboGraph to Highlight Successes of Artificial Intelligence (AI) and Deep Learning Technology at HFMA Annual Conference

June 25, 2018 / 0 Comments

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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OrboGraph Embraces AI

February 7, 2018 / 0 Comments

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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Root Cause Analysis Is the Foundation to Denied Claim Analysis

December 27, 2017 / 0 Comments

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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These “Far-Out” Denials Can Cause Real Audit Problems

December 21, 2017 / 0 Comments

You might have heard of some of these “far-out” denials from an HME NewsPoll, but they really are worth a review… …a Medicare prescription denied because it was “written by a girl.” …an agency had a beneficiary “listed as dead, then alive, then dead again.” …multiple providers receiving denials for wheelchairs intended for amputees and…

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Find Out Where You Stand Today on This Controversial DME Prior Authorization Rule

December 14, 2017 / 0 Comments

Becker’s announcement on CMS’ DME prior authorization rule came a while back, but CMS’ stance on prior authorization is likely still causing denial issues for your facility today. The Backstory Just as 2016 was about to round the corner, CMS issued a rule requiring prior authorization before Medicare would reimburse DME that had been found…

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Telemedicine’s Newest Threat. DME Denials?

December 6, 2017 / 0 Comments

A recent report from Grand View Research reveals a potentially hidden threat to telemedicine programs. We’re all aware that chronic disease is a growing problem around the world, but did you know that the diabetic foot ulcer treatment market alone is valued at over $3.15 billion?  Statistics like that mean the results of a report…

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CPAP Denials Are A Bigger Deal Than You Thought.

November 28, 2017 / 0 Comments

Earlier this year, The Huffington Post reported on the largely negative impact Medicare regulations are having on CPAP users and providers. On the provider side specifically, CPAP denials have been known to top denials lists for HME and DME suppliers, meaning that understanding the layers of Medicare’s logic is the first step in understanding how…

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Are You Analyzing Your DME/HME Claims Denials?

November 22, 2017 / 0 Comments

The CHANGE HEALTHCARE HEALTHY HOSPITAL REVENUE CYCLE INDEX estimates that out of the $3 trillion in claims that were submitted in 2016, 9 percent ($262 billion in charges) were initially denied. For your average health system, that adds up to as much as 3.3 percent of NPR, dinging them for an average of $4.9 million…

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