Claims Adjudication

Revenue Cycle Strategist: November 2017 Issue

February 1, 2018 11:59 am

Subscribers to Revenue Cycle Strategist may access the individual articles below.

Denials Management

Appealing Medicare Denials in an Age of Reform

By Laura Ramos Hegwer

New reforms are giving providers more options for appealing Medicare claims denials, yet early preparation of appeals is essential.

Financial Assistance

Improved Patient Payments Allow Health System to Reinvest in Growth

By Timothy Mattson

In less than a year, Hackensack Meridian Health’s patient loan program has helped patients cover almost $3.5 million in medical costs, cut bad debt from patient pay in half, and achieved an ROI of 380 percent.

Payment and Reimbursement

What Anthem’s Imaging Policy Means for Hospitals

By Lola Butcher

Hospitals that own outpatient imaging departments should not ignore the significance of Anthem’s new imaging site-of-care policy.

Coding Q&A

Coding Root Operations in ICD-10: Reiterate the Basics

By Sharon Nichols

How can coding managers help their coding professionals master root operations in ICD-10-PCS?

Figure at a Glance

MVA Claim Payment Requires Coordination Across Departments

By Brandon Rife

When motor vehicle accident information and policy information is not captured correctly, providers may not receive payment for up to 50 percent of claims filed each year.

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