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Integrating Healthcare Denials Management Technology for Flawless RCM

On 21st Feb 2019

The need for revenue cycle management technology has never been greater. As providers seek ways to survive under regulatory pressures like MACRA, daily CMS policy changes, and the switch to value based care, a rugged revenue cycle management system emerges as the best way to protect revenue. Without it, revenue will seep through holes caused by legacy billing processes and old systems. Knowing that technology is needed is Step One; knowing which technology to purchase is just as important.

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The Benefits of Having a Revenue Cycle Blueprint

On 5th Feb 2019

When your office space no longer fits the needs of your business you have two choices; renovate the floor plan or move. The same is true of your revenue cycle management (RCM) system. When it no longer fits the needs of your healthcare organization you have two choices; fix the one you have or buy a new one. Finding an RCM solution that delivers a blueprint for continual growth, rather than a static map for the status quo, is the answer.

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Best Practices to Prevent, Find and Overturn Underpayments

On 21st Jan 2019

Underpayments and denials might as well be alligators in a swamp -  you can’t see them and you can’t fight them until you are on the losing end. But it doesn’t have to be that way. You can implement systems that safeguard your practice from repeated revenue losses in hidden line items. It is possible to see, and successfully appeal, healthcare underpayments and denials to increase revenue and bolster your bottom line.

Underpayments and denials - a difference of root causes

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Operational efficiency in healthcare contract management

On 31st Oct 2018

Healthcare operational efficiency - payer contract management

Healthcare contract management isn’t just important to healthcare organizations - it’s essential to viability. It isn’t an option, it’s a core function to financial well-being. When operational efficiency in payer contract management is achieved, it can yield robust financial benefits, improve reimbursement and capture revenue before it is lost. Comprehensive management of payer contracts is the foundation on which strong financial performance is built.

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Modeling and Management of Healthcare Payer Contracts with Ease

On 26th Sep 2018

Healthcare contract management and modeling can be a daunting prospect, yet it is a core function of revenue management for all healthcare organizations. As revenue pressures continue to mount one thing remains true: the extent to which payer contracts are modeled and managed directly impacts any health organization’s ability to capture revenue.

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Reducing and Collecting on Healthcare Payer Denials and Underpayments

On 13th Aug 2018

Reducing and Collecting on Denials and Underpayments Through Healthcare Payer Contract Management

Of all the pressure points faced by healthcare organizations today, healthcare payer contract management remains at the top of the list. Healthcare denials management and underpayment management are the achilles heel of every revenue cycle management function. According to MGMA, it’s estimated that seven to 11 percent of all claims are underpaid, and that is just the tip of the iceberg.