denial management
publication date
Payer
A Doctor at Cigna Said Her Bosses Pressured Her to Review Patients' Cases Too Quickly. Cigna Threatened to Fire Her
Cigna tracks every minute that its staff doctors spend deciding whether to pay for healthcare. Dr. Debby Day said her...
Payer
Humana Expands Prior Auth. Partnership With Cohere Health
The platform is giving physicians faith in quick prior authorization turnaround.
Revenue Cycle
Round Up: How Cost Containment, Denials, and Cybersecurity is Defining Rev Cycle
There are three prevalent issues that defined the first quarter that leaders should know.
Revenue Cycle
Private Payers Retain Profits by Denying, Delaying Claims: What Rev Cycle Leaders Can Do About It
While health systems are doing their best to maintain financial stability, payers are doing their best to protect their profitability.
Payer
Gold Carding and Payers: What To Know
Gold Carding is expanding across the country with several states already implementing the legislature in some way.
Payer
States Target Health Insurers' 'Prior Authorization' Red Tape
Last year, lawmakers in 29 states and Washington, D.C., considered some 90 bills to limit prior authorization requirements.
Revenue Cycle
3 Revenue Cycle Challenges That Will Continue in 2024
Add these to your list of New Years resolutions.
Revenue Cycle
Denials Management is Costing Some Revenue Cycles Millions
A new report underscores the significant financial burden that denials pose for organizations.
Revenue Cycle
How Health Insurers Have Made Appealing Denials So Complicated
Health insurers reject millions of claims for treatment every year in America. Corporate insiders, recordings, and internal emails expose the...
Revenue Cycle
First Wave of UHC Prior Auth Cuts Begin, But Will it Matter?
In an effort to soften the payer/provider relationship, many large health insurers are rolling back on prior authorizations.
Payer
Doctors and Patients Try to Shame Insurers Online to Reverse Prior Authorization Denials
Insurers say the prior authorization helps them control costs.
Revenue Cycle
Most-Read Revenue Cycle Articles in Q2 2023
Check out the most-read revenue cycle articles from the past quarter.