Denials Are Inevitable, but Actionable: Best Practices for Denial and Appeals Management
By Julius Raj Stephen, SVP Operations Proactive approaches can help address the source of nearly 50 percent of denials: front-end revenue cycle issues. Staff shortages, gaps in training, and technology non-adoption all contribute to the front-end errors and inefficiencies that lead to denials. In Part 1 of this series, we explored those challenges — and […]
Reduce Denials and Improve Patient Collections for Revenue Cycle Improvement
Reduce Denials and Improve Patient Collections for Revenue Cycle Improvement For years, narrow margins have beleaguered hospitals and other healthcare organizations, raising the recent importance of revenue cycle improvement. According to the April 2023 Kaufman Hall National Hospital Flash Report, hospital margins approached nearly zero percent in March 2023, up from -1.5% in February.[1] With […]
Health Systems Look to Solve Revenue Cycle Staffing Challenges
Health Systems Look to Solve Revenue Cycle Staffing Challenges Stories about staffing shortages and increased turnover filled healthcare publications before the COVID-19 pandemic, and now it’s getting even more attention. Turnover and revenue cycle staffing are leading indicators of patient satisfaction as well as future revenue cycle strength. Omega Healthcare recently conducted a survey to […]
Four Opportunities to Reduce Denials and Get Paid Faster
Enhancing the Patient Access Process to Reduce Denials and Increase Revenue If it seems like you’re experiencing an increase in payer denials, you’re not mistaken. Payers are now using sophisticated algorithms to more easily identify things like potential DRG downgrades and issues with medical necessity.[1] Payers are also using more complex claims submission criteria, often […]
Four Opportunities to Improve A/R Management
Streamlining A/R Management to Reduce A/R Days and Increase Collections Hospitals and provider practices across the country are struggling with unprecedented staffing shortages. While the spotlight is on clinical and other frontline staff, revenue cycle staff is also in high demand. According to an article by Becker’s Hospital Review, “Front-end revenue cycle staff, back-office specialists, […]