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?
Moffitt Cancer Center Reduces Certain Denials by Half
By documenting proof of authorization, Moffit Cancer Center has streamlined its denials appeals process, allowing staff to appeal up to 25 claims per day versus 8 per day previously.
Improving Revenue Cycle Performance by Following Changes in Care Plan
A Maryland-based health system implemented a new tool and processes to decrease denials by following up on deviations from patients’ plans of care.
PHI Disclosure Management in the Business Office: Two Options for Greater Efficiency
Don Hardwick describes ways healthcare organizations can improve the process of releasing medical records to insurers.
How Geisinger Maintains Strong Revenue Cycle Performance During M&As
Geisinger Health System leaders have been able to return to previous revenue cycle performance levels within 90 days or less during their integrations. Their strong performance continues today as demonstrated by the health system’s award-winning revenue cycle department.
Ask the Experts: Denial Contract Language
What contract language would you recommend to assist with denial prevention?