Claims & Contract Management
Three essential ingredients for a healthy payer-provid...
Recovering underpayments from commercial insurers costs the healthcare industry billions every year. When payments come up short against what the provider expects, it’s not...
Are you ready for the Medicare Beneficiary Identifier?...
It’s almost time to say goodbye to Health Insurance Claim Numbers (HICNS). Earlier this year, the Centers for Medicare and Medicaid Services (CMS) began...
7 ways to prevent costly claim denials...
Managing the revenue cycle draws in considerable resources for healthcare organizations, even when it’s working as planned. The American Medical Association puts direct transaction...
How to prevent and manage claim denials...
For many healthcare providers, claim denials are a frustrating cost of doing business. Each year, around 5-10% of medical billing claims are rejected (possibly...
How Contract Manager improves revenue cycle management...
A recent Black Book survey of more than 500 healthcare networks revealed that hospitals in the U.S. have been painstakingly slow in adopting healthcare revenue...
How can customizable edits improve your denial rate?...
Healthcare organizations have been forced to deal with billing challenges for so long that many might consider the struggle to simply be the price...
How Schneck Medical Center manages denials promptly an...
Healthcare providers should be able to focus on what’s important: their patients and the care they need. However, providers and their staff must spend...
How Boys Town Hospital overcame its revenue management...
About 8 percent of the costs involved in U.S. healthcare are spent on administrative costs. Whether it’s paperwork for a simple follow-up or processing billing for...
Reduce the time it takes to get claims paid...
It’s no secret that claim denials cost healthcare organizations. They take about 16 more days to pay out than claims that have not been denied. On...