Denial Management
You might imagine that only persons involved in high-end technical jobs are dealing with Artificial intelligence (AI), but it’s actually used widely in an array of industries. For example, in consumer cameras like the Sony A6600, AI aids in identifying specific faces and eyes in its follow-focus feature. AI plays a role in everything…
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Imagine having a lingering cold and sore throat, and, after a quick visit to your primary care doctor for a throat swab and blood test, you get a bill for … $28,395.50 You read that correctly. Fortunately, the patient in question, Alexa Kasdan, was insured and it fell to the insurer to pay the bill…
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And another year comes to a close! It’s been our pleasure to share observations, insights, and solutions from across the industry via the OrboNation Blog. As 2019 comes to end, we have much to be thankful for. Most importantly, however, we’re thankful for the clients and customers that are crucial to OrboGraph’s success. Looking back,…
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Modern insurance plans — and, indeed, cases where people remain un- or under-insured — mean that whenever possible, healthcare consumers want to be able to anticipate potential costs as accurately as possible. This is the dawn of “retail healthcare” when it comes to certain anticipated, nonemergency cases, and consumers have a growing array of resources…
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At the The 2019 OPEN MINDS Management Best Practices conference, Senior Associate Ken Carr provided a deep dive into that subject in his session entitled Are You Ready For Value-Based Reimbursement? An Executive Guide For Assessing Readiness In A Value-Based Market, which is summarized at the Open Minds website. During the session, Mr. Carr zeroed…
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The US healthcare payments market is gigantic, and getting bigger. As seen in the chart above, Healthcare expenditure hit $3.65 trillion in 2018 (per projections from CMS) and this spending is only expected to go up and up (again, as seen in the ski-jump above). Does that mean cruise control for players in the healthcare…
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The Executive Briefing at OpenMinds.com discusses the ways Revenue Cycle Management must adjust in the VBR (value-based reimbursements) World. OPEN MINDS Senior Associate David E. Wawrzynek summed up the changes organizations need to make in order to survive — and succeed — with revenue cycle management in a value-based world: The revenue cycle management process…
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You read that right: About a quarter of all US hospitals — 26% — do not have an effective healthcare revenue cycle management solution in place, according to a new Black Book survey. According to RevCycle Intelligence, Black Book surveyed over 4,640 individuals from 522 hospitals and healthcare delivery networks regarding their use of 165 revenue…
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RevCycle Intelligence reports on a new survey that healthcare organizations are losing revenue because they are failing to properly manage referrals and patient leakage. Some of the report’s findings: There’s a gap between priority and action. Some 87% of healthcare executives say patient leakage is a high priority, but 23% don’t track leakage and 20% don’t…
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In today’s “retail medical market” with heightened RCM patient focus, improving a patient’s financial experience is a key to healthcare revenue cycle management success, according to the Senior Regional Director of Revenue Cycle at Ascension Healthcare. RevCycleIntelligence.com reports that the ability to implement self-service technology and give accurate price estimates is key to improving the patient experience…
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