Tag: Hospital Claim Denials

Hospital Claim Validation

Hospital Claim Validation: A Proactive Strategy to Prevent Denials

Claim denials cast a long shadow over hospital finances, eroding revenue cycles, inflating administrative burdens, and ultimately jeopardizing the institution’s financial stability. While some denials are unavoidable, a powerful and forward-thinking Hospital Claim Validation strategy can dramatically reduce their frequency.  This approach emphasizes embedding accuracy and compliance at every touchpoint of the patient journey and […]
Hospital Claim Denials Up for Most, Driven by Prior Authorizations

Hospital Claim Denials Up for Most, Driven by Prior Authorizations

  Hospitals and health systems are facing a growing volume of claim denials, with private plan prior authorization issues driving the recent increase, according to a new report from the American Hospital Association (AHA). For the report, AHA surveyed more than 200 hospitals and health systems in 2019 to understand the impacts utilization management practices employed by […]