Denied claims are a constant burden on many health organizations – often forcing teams to choose between whether to invest time and resources into either denial prevention or denial management. What if you could...
Denials are a constant thorn for healthcare organizations, and are often caused by factors outside of an organization’s control, such as to new payer rules or patients switching medical plans. When left unchecked, claim denials can represent an average loss of up to 5% of net patient revenue.
HHS released a proposed rule on October 27 regarding the federal independent dispute resolution (IDR) process for the No Surprises Act. The rule focuses on early communication between payers and providers, the open negotiation period, batching, eligibility, administrative fee structure, and registration.
Highlights from the 2023 NAHRI Leadership Council Survey Part 2: Unraveling the essentials, benefits, and future of automation.
Hospitals and health systems have faced unprecedented challenges for several years, pushing them to rethink their revenue cycles. Factors like the pandemic and...
In the 2023 NAHRI Leadership Council Survey, Utilization and Adoption of Automation in Revenue Cycle, 101 leaders, including revenue integrity, health information management (HIM), and coding directors and managers primarily from acute care hospitals and health systems with 500+ beds, assessed...
The American Medical Association (AMA) recently approved the consolidation of more than 50 codes used to report COVID-19 vaccines, as well as the addition of several new codes.
