Denial Management
Daily Host News takes a look at a topic we consider integral to the future of the healthcare industry, and that is INTEROPERABILITY. As important as it was previous to the COVID emergency, interoperability is now absolutely crucial in a pandemic environment. Their definition of INTEROPERABILITY is as follows:
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In case you missed it, over the past month, we have published incredible content on our OrboNation Blog and Modernizing RCM with AI. Review the latest OrboNation Newsletter online or via PDF download.
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As noted here previously, the No Surprises Act — which is part of the Consolidated Appropriations Act introduced earlier this year — presents some formidable challenges to the healthcare industry. The No Surprises Act is so named because it is designed eliminate some of the surprises that group health plan participants encounter from unexpected charges, which most people will agree is certainly a needed solution. However, as reported at HealthcareDive.com, payers and hospitals are asking for more time to get their “ducks in a row” in preparation to meet the new requirements:
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A recent PYMNTS.COM Deep Dive examines how virtual patient experiences and contactless payments — boosted by the realities of the pandemic — are changing the healthcare landscape. Two significant metrics: More than half of patients are willing to contemplate switching providers if doing so created improved payment experiences 31% of customers claim that they pay their medical bills faster…
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Managing a pandemic was and is a challenge in any industry. Medical Economics recently examined the pressure COVID-19 put on medical practices and their administrative staff. Before COVID-19 struck, many healthcare providers were already nearing a breaking point from the stress of their jobs. Faced with a number of demands – evolving laws, regulations and standards; healthcare reform and changing payment policies; too many administrative tasks; balancing increased patient expectations as healthcare consumers with limited time for patient interactions – providers and their staff were already suffering burnout at record levels.
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Over the past year, our R&D team has delivered many enhancements to our OrboAccess and our Healthcare Payments Automation Center (HPAC) technology. One of the major enhancements offers the ability for users/clients to custom categorize correspondence letters — improving the efficiency of working denials.
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In case you missed it, over the past month, we have published incredible content on our OrboNation Blog and Modernizing RCM with AI. Review the latest OrboNation Newsletter online or via PDF download.
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The problem, to be specific, is unexpected bills and the ability of patients — now responsible for so much more out-of-pocket medical expenses — to pay. Physicians are finding themselves with a pile of unpaid bills that is growing by the month. To begin attacking this challenge, Mr. Colabella suggests “front-loading” expectations as much as…
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Some of the adjustments we’ve made in the era of COVID-19 have become familiar. It’s hard to imagine at this point, for instance, that there was a time when we didn’t know what a ZOOM call was. In fact, it’s now a fairly ubiquitous executive conceit to “prep” the home-office (or rec room) background when…
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Sheetal Nariani is an expert on blockchain technology who has worked for over a decade in the financial management sector within the healthcare and pharmaceutical industry, including pharmaceutical giants like Cipla and Novartis, and has advised multiple renowned companies in the healthcare and pharmaceutical sector on how to plan, develop, and execute their financial strategies.
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