Insurance denials are a great cause of frustration for medical providers. The numbers paint a grim picture: reports have shown that the denial rates for some organizations are as high as 20%. In other words, one in every five medical claims has to be investigated and...
Value-based care is slowly emerging as the new alternative to healthcare payments as opposed to fee-for-service reimbursements. With a focus on quality versus quantity, this type of reimbursement aims to refresh the healthcare system by reducing costs both for...
You can do a lot of things to maximize the success of your medical practice. However, regardless of your size, needs, and policies, one process that can help your healthcare organization grow is the revenue cycle. Revenue cycle management, or RCM for short, is the...
Filing claims is a crucial responsibility that affects healthcare organizations in today’s climate. Many hours of employee effort and company money is lost due to denied claims. While there are many reasons for denied claims, errors in medical coding has the largest...
Let’s be honest for a second. Although a noble thought, aspiring to reduce claim denials to zero is probably impossible. The way the healthcare system works makes it prone to errors. As a result, almost any hospital and medical practice will be dealing with denials at...
