Claims & Contract Management

The Secret to Decoding Insurance Payments and Contracts

Posted on Apr 30 2015 by

In the 1930s, Ovaltine offered listeners of the Little Orphan Annie radio program a membership badge with a decoder ring that allowed listeners to replace numbers with letters and figure out secret messages – which usually urged them to drink Ovaltine. Fast forward to 2015, and a decoder ring can be bought online for under […]

Better Insight Yields Better, Faster Claims Payments

Posted on Nov 05 2014 by

It’s only natural to want to be fairly, fully and quickly reimbursed for services – it’s the basic foundation of business. Yet only in healthcare does attaining this basic transactional norm become challenging. Healthcare providers must be vigilant at all stages in the revenue cycle to ensure the amount they receive is timely and accurate. […]

Take control of the reimbursement process: Leverage data and analytics to elevate payer contract performance

Posted on Jan 16 2014 by

By all accounts, healthcare reimbursement is complex. Given the highly specific contract terms between thousands of providers and payers, there are bound to be situations where payer compliance falters and payments are not accurate. In fact, national payers make approximately 500 payer policy changes a year, which only adds to the complexity. As organizations strive […]

Where’s the data? Realizing your revenue cycle’s true potential

Posted on Oct 31 2013 by

Remember those commercials for the hamburger chain in the mid-1980’s? An elderly lady angrily shouted, “Where’s the beef?” in response to seeing a tiny burger on a large, fluffy bun. If that same creative concept were applied to healthcare today, perhaps the lady would proclaim, “Where’s the data?” when looking at the revenue cycle. While […]