Reimbursement News

RCCH Uses Predictive Analytics to Boost Claim Denials Management

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Predictive analytics are key to implementing an effective and efficient claim denials management strategy that tackles the right denials at the right time, according to the Vice President of Revenue...

Artificial Intelligence Ensures Payer, Provider Pay Covers Costs

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Artificial intelligence (AI) in healthcare is influencing the next generation of radiology tools and helping to expand access to care in underserved or developing areas. The technology is supporting...

4 Strategies for Merit-Based Incentive Payment System Success

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Medicare providers who qualify to participate in MACRA’s Merit-Based Incentive Payment System (MIPS) face up to a 4 percent incentive payment or penalty based on their performance in...

Cancer Care Costs 60% Higher at Hospitals Vs Independent Orgs

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Hospital-based cancer care for patients undergoing chemotherapy was 60 percent more expensive compared to the same treatment at community-based oncology practices, according to a recent study by Xcenda...

3 Challenges Providers Face with Healthcare Bundled Payments

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Healthcare bundled payments are becoming one of the most popular alternative payment models available to providers. Providers are drawn to the episode-based structure’s ability to decrease...

3 Best Practices for Hospital Claim Denials Management

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Healthcare cost control continued to top hospital priority lists in 2017. But hospital leaders may be leaving millions of dollars on the table because of inefficient claim denials management...

Top 4 Claims Denial Management Challenges Impacting Revenue

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For most healthcare organizations, claim denials are a normal, if not a frequent, occurrence. While very few can boast that their denial rates are close to zero, many providers face a number of...

Defining the Top 10 Terms of Healthcare Revenue Cycle Management

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In some cases, definitions for terms and acronyms related to healthcare revenue cycle management can come across as fairly straightforward. Other times, they can sound more like a foreign language. A...

3 Strategies to Improve Healthcare Supply Chain Management

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The evolution and progression of supply chain and reimbursement tactics and procedures within the healthcare industry serves as a keen focal point requiring acute attention to detail if success is to be...

Quantify Denial Rates for Smooth Revenue Cycle Management

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A hospital or medical practice’s ability to swiftly and economically process claims and quantify denial rates is critical to ensure smooth revenue cycle management and medical reimbursement. The...

What Steps Comprise the Life Cycle of a Medical Claim?

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Although reimbursement is a vital aspect within a claim’s life cycle, it is certainly not the only vital piece. It is important to recognize and distinguish each stage from the other within the total...