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?
5 Steps for Consumer-Friendly Payment Options that Raise Satisfaction and Revenue
Today’s hospitals rely more on innovative consumer-friendly revenue capture solutions because of increasing patient responsibility and the risk of non-payment. Providers benefit significantly from implementing technological and non-technological solutions that integrate with operational workflows to mitigate leakage and increase cash flow.
CHRISTUS Health Revamps Denials Management
The health system boosted productivity by 25 percent by focusing staff time on the accounts with the greatest potential return.
Ask the Experts: Medicare Adjustments During Appeals
Can we adjust a denied Medicare charge off of an account when an appeal is still open?