Practical Tips for Maintaining Control over the Revenue Cycle
Using technology to prevent denied claims and providing patients with price transparency are just two ways healthcare organizations can improve their revenue cycle performance.
Bridging the Gap: The Role of the Physician Advisor in Revenue Cycle Operations
Hospitals are deploying physician advisors to bolster the revenue cycle in a variety of areas, including clinical documentation, denials prevention, utilization review, and value analysis.
Your To-Do List When Health Plan Contracts Change
Six steps can help revenue cycle leaders manage health plan changes effectively.
Key Strategies for Performance Improvement
Developing engagement across a hospital or health system encourages collaboration and problem solving on costly claim denials.
4 Clinical Reasons for Denials
Denial prevention efforts should focus upstream in the revenue cycle, starting with patient status and continuing through documentation practices, coding, CDI, utilization review, and charge capture.
Outsourced Revenue Cycle Operations Experience Higher Denial Rates
Outsourced revenue cycle operations have lower performance on denial rates but other factors may still make outsourcing a viable option.
Navigating Bad Payer Behavior in Emergency Services Billing
Weaver Hickerson and Tyler Williams propose three strategies to mitigate risk of denials in the emergency department in the wake of changes in insurer policy.
Ensuring the Revenue Cycle Gets a Clean Bill of Health
Health systems can reduce denials by using claims management tools, but their use must be supported by a commitment to ongoing process improvement within the organization.
Integrated Revenue Cycle: Coordination Between Insurers and Providers to Ensure Revenue Accuracy
Working together, insurers and providers can realize mutual benefits of verifying the accuracy of information.
Success in Proactive Denials Management and Prevention
Adopting a few key best practices can help healthcare organizations reduce denials.