Denials Management

4 ways to keep ahead of denials amid the pandemic

Revenue cycle leaders share their perspectives on managing denials during the COVID-10 pandemic, including the need to keep up with new codes and evolving payment guidelines.

Jeni Williams February 22, 2021

Healthcare News of Note: Recent CMS regulations are in limbo under the new administration

News of Note for healthcare finance professionals is a roundup of articles from the past weeks, including, the Biden administration ordering a review of recently finalized regulations across government agencies, leaving the fate of several new CMS rules in question.

Deborah Filipek January 22, 2021

Telehealth: Moving from stop-gap measures to an integrated care delivery model

With telemedicine on the rise, two senior leaders advise having proper denials prevention and response strategy, along with ideas on motivating physicians to participate in telehealth programs.

HFMA November 30, 2020

Lessons learned from 2020 HFMA MAP Award winners

Learn key takeaways from 15 revenue cycle leaders who shared performance at the HFMA Digital Annual Conference lessons learned around ways to strengthen and sustain revenue cycle.

HFMA November 30, 2020

How to prevent silent denials from eroding a hospital’s margin

Hospitals should take steps to prevent silent denials. Such denials are a common result of inaccuracies introduced as a result of clinical conservatism, which can have an impact on reimbursement before a claim is submitted.

Kurt Hopfensperger, MD, JD October 23, 2020

Coding denials: Creating an effective appeal strategy

Distinguishing coding denials from clinical validation denials is an ongoing challenge, and a good place to review processes.

Malissa Powers, RHIT, CCS, CDIP, CICA March 2, 2020

HFMA conference in New Orleans focuses on achieving a consumer-centric revenue cycle

HFMA conference in New Orleans focuses on achieving a consumer-focused revenue cycle.

Erika Grotto February 5, 2020

Prior-authorization cost and time burdens increase for providers, report finds

Provider burdens from health plans’ use of prior authorization continue to mount amid calls to make the process fully automated.

Rich Daly January 22, 2020

Auth-DP software helps streamline prior authorizations to reduce denials

A leading revenue cycle technology company talks about how its innovative prior authorization software streamlines the process of checking for, obtaining and following up on prior authorizations, saving organizations millions in avoided denials.

HFMA January 2, 2020

Pursuing innovation in the revenue cycle to transform operations

A roundtable of healthcare revenue cycle leaders discusses the importance of embracing innovation, including new and emerging technologies, to combat shrinking margins and navigate new payment models and the ever-changing regulatory environment.

HFMA December 2, 2019
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