Denials Management Archives - Page 2 of 2

2 Keys To Reduce Clinical Validation Denials In Revenue Cycle

KEY TAKEAWAYS Denials rose to 11% of all claims last year, up nearly 8% from 2021. Revenue cycle leaders should place their focus on clinical validation denials to help ease the overall denials burden. A key defensive strategy for preventing denials is provider education. Revenue cycle leaders need to understand that clinical validation denials are […]

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How AI in Optimizing Revenue Cycle Management Automation?

Healthcare Leaders believe that Artificial Intelligence (AI) and Automation have the capability to transform the revenue cycle management process the way we think. Only a robust and durable revenue cycle automation solution is needed to handle all complexities involved in patient eligibility verification to the denial management process. Healthcare provider needs several key steps to […]

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Healthcare Finance Leaders Facing Revenue Cycle Workforce Shortages

More than 400 healthcare finance leaders reported having revenue cycle workforce shortages, with almost 20 percent seeing 30 or more vacancies. Healthcare finance leaders are experiencing revenue cycle workforce shortages, with one in four reporting that they need to hire more than 20 employees to fully staff their department, according to a survey commissioned by […]

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Dos And Don’ts For Managing Inpatient-to-observation Status Downgrades

In the newest episode of the HealthLeaders Revenue Cycle Podcast, Charlie Brown, MBA, a former hospital executive and vice president of revenue cycle at a consulting firm, provides actionable steps for mitigating status downgrades and dealing with them effectively to ensure that organizations receive the full reimbursement for the services they provided. In his […]

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Prepare Practices For E M Office Visit Codes Changes

Physician CDI Input and Clinical Validation for Pelvic Abscess Denial

Case study proves the need for physicians to be members of the CDI team. Having a strong denials management team is critical for facilities. If providers do not leverage proper resources to generate strong appeal letters, the third-party payers will uphold their decisions to remove or change diagnosis or procedure codes. This usually will lead […]

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Artificial Intelligence: The Benefits to Revenue Cycle Management

Artificial intelligence (AI) is a concept that has moved very quickly from the realm of science fiction into real and practical utility in a number of different industries—including healthcare. One of the most effective applications for AI-powered tools is in the field of revenue cycle management. Sophisticated AI technologies can sift through vast amounts of […]

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Tag: Denials Management

2 Keys To Reduce Clinical Validation Denials In Revenue Cycle

How AI in Optimizing Revenue Cycle Management Automation?

Healthcare Finance Leaders Facing Revenue Cycle Workforce Shortages

Dos And Don’ts For Managing Inpatient-to-observation Status Downgrades

Physician CDI Input and Clinical Validation for Pelvic Abscess Denial

Artificial Intelligence: The Benefits to Revenue Cycle Management

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