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Providers face mounting pressure to optimize their revenue cycle operations while maintaining compliance and accuracy. Claims management is the heart of this challenge, directly impacting cash flow and operational efficiency.
9 min read
Analytics in accounts receivable (A/R) isn’t just about gathering data; it’s about transforming it into actionable insights that drive smarter decisions, reduce financial risks and boost cash flow.
8 min read
The relationship between providers and payers plays a critical role in ensuring smooth and timely claims processing. However, these relationships often face challenges, from misunderstandings of policy requirements to shifting regulations.
4 min read
Optimizing accounts receivable (A/R) management is more important than ever as billing processes grow more complex and value-based care becomes the standard. This blog highlights the significance of effective A/R management and outlines actionable...
7 min read
In today’s healthcare landscape, where financial sustainability is top of mind, delayed claims processing can be a significant roadblock to cash flow and overall revenue cycle efficiency. Hospitals and health systems face heightened risk when claims are...
6 min read
Grasping the details of the claims lifecycle in healthcare is crucial for getting timely reimbursements and maintaining financial well-being. As healthcare organizations strive for an efficient and accurate claims management process, it’s crucial to...
4 min read
Claims management accuracy and efficiency are crucial for hospital billing, accounting and finance professionals. However, common missteps can cause expensive delays, denials and reimbursement deficiencies. Below, we explore the top five mistakes in...
5 min read
In today’s healthcare environment, maintaining secure and continuous claims management is more crucial than ever. Recent cyberattacks highlight the vulnerabilities organizations face without robust backup systems. When claims systems fail, revenue...
7 min read
In the world of healthcare revenue cycle management, you often hear terms like clean claim rate, claim denial rate and claim rejection rate. While each of these metrics plays a crucial role in the financial health of a healthcare organization, focusing...
4 min read
Last year, over half of healthcare providers reported an increase in denied claims within their organizations. Common reasons cited included registration errors, inadequate documentation and inaccurate or missing patient information.
5 min read
In 2023, more than 50% of healthcare providers said the number of denied claims rose for their organizations, most often due to errors in registration, lack of documentation and missing or incorrect patient information.
5 min read
For modern healthcare to realize its true potential, revenue cycle management needs a new vision. The future requires a connected and holistic approach that empowers the providers, payers and patients who make the healthcare economy. Current processes...
