Providers may come across varying degrees of medical necessity denials on their reimbursement claims, based on the payers and the plans they work with.
Implementing Best Practices in Patient Access Services to Improve the Patient Experience
Patient access services can improve the patient experience by providing clear information, streamlining registration and scheduling processes, and using technology to enhance communication and engagement. By addressing financial concerns and meeting the needs of diverse patient populations, patient satisfaction can be improved.
Healthcare and revenue cycle trends for 2023 and beyond
As we set out to write the trends for 2023, we see that operational efficiency is now the central theme for hospital and healthcare systems leaders. The trends we covered in our 2022 paper continue to get stronger. These included the dawn of the digital health era, the rise of telehealth, the shift to work-from-home models, surprise billing regulations, AI-enabled processing, rogue nation-states leading to increasing cybersecurity risks, and patients now responsible for a rising portion of payments. 2023 is likely to be a very different and fast-paced year and mark a definitive shift in how healthcare is delivered and paid.
The Great Resignation - Why Hospital CFOs must refocus on the revenue cycle to Survive
Six Aspects of an Effective Denial Prevention Program
Increasing claim write-offs and decreasing success in denial appeals amplify the already sad state of the financials of hospitals and healthcare systems caused by the current labor shortage and trend of declining reimbursements. Shouldn't hospitals be focusing on denial prevention rather than denial recovery? Here are six tips to help you get ahead in the denials game and recover more revenue.
