Tag: Revenue Cycle Management

How AI Reshaping Hospital Revenue Cycle

How Artificial Intelligence, Analytics & Automation are Reshaping Hospital Revenue Cycle

The accelerating challenge around patient needs’ calls for new technology and automation, but on a personal level. As hospitals turn to technology to overhaul the patient experience and improve profits, a range of vendors are bringing new products and outsourced services to meet that demand with artificial intelligence, data analytics and natural language processing as […]
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Pain Management and The Global Period

Pain Management and The Global Period

Pain management during the global period of a procedure, if related to that procedure, is not separately reportable. If a provider other than the operating provider performs follow-up care, you must be careful to avoid “unbundling” of that follow-up care. The global period, or global surgical package, bundles all care typically related to surgical service into a […]
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Top 13 Reasons For Claim Denials

Top 13 Reasons For Claim Denials

Denied claims are one of physicians’ chief complaints when it comes to dealing with payers. To a certain extent, every practice deals with claim denials. It’s those practices that eliminate the most common reasons that experience a smoother revenue cycle and find greater financial success. Here are the 13 most common reasons for why claims […]
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A Rebeginner Guide to Peer-to-Peer Appeals

A Rebeginner’s Guide to Peer-to-Peer Appeals

Suggestions for conducting peer-to-peer appeals for denials. If you are wondering why you should read this if you think you are not a rebeginner, well, it is because you actually are one. Beginnings do not disappear, they just reproduce. Novices are just starting, veterans have started over and over. We all begin as beginners and […]
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Urgent Need for New Revenue Streams will Shape Providers Strategies

Urgent Need for New Revenue Streams will Shape Providers Strategies

Building alternative revenue streams source will play a bigger role in healthcare providers’ strategies, according to a new study. Ninety percent of hospital and health system executives surveyed indicated that new revenue streams were an urgent priority expected to yield a return in the next three years, a new study from Boston-based Partners Health Care […]
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AI Driven Medical Billing

Could AI-Driven Medical Billing be The Key to Keeping Struggling Hospitals in the Black?

The entrepreneurs behind Sift Healthcare are using predictive analytics (AI) to crack the code on unpaid medical bills, helping health facilities work smarter when managing budgets. Last month, Alabama’s Georgiana Medical Center closed its doors, making it the 13th Alabama hospital to close in eight years. Seven of the 13 shuttered hospitals served rural communities. In […]
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How Blockchain Can Solve Healthcare’s Data Reconciliation Problem

How Blockchain Can Solve Healthcare’s Data Reconciliation Problem

The U.S. healthcare industry has a $1 trillion opportunity to cut costs and reduce waste, according to a 2015 Harvard Business Review analysis. While there are various areas waste accumulates, costly data reconciliation is a prominent problem for hospitals and health systems. Change Healthcare defines data reconciliation as “the process of compiling information across companies […]
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4 Ways to Stop Losing Patients Over Medical Bills

4 Ways to Stop Losing Patients Over Medical Bills

Every business not only wants to attract new customers but to keep its existing ones, and hospitals and health systems are no different. Unfortunately, surprise medical bills can be the element that drives patients away from one hospital and into the waiting arms of the competition. New research published this month in Health Affairs provides hospitals with […]
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