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.
Safety Net System Achieves $130M in Fiscal Improvements in 4 Years
Denials management and “keepage” strategies—keeping services within the health system—helped Maricopa Integrated Health Services improve its margins even in the face of a challenging payer mix.
Ask the Experts: Denials Management Statistics
What metrics do CFOs consider important to support decision-making with respect to their denials management programs and health plan contracting?
Your To-Do List When Health Plan Contracts Change
Six steps can help revenue cycle leaders manage health plan changes effectively.
Exemptions to Anthem’s ED Policy
Anthem will not deny an ED claim based on the prudent layperson standard if certain conditions apply.
Ask the Experts: Physician Practice System Implementation
Is there a template for a new physician practice management system implementation plan geared towards denial management and collection modules?