Revenue CycleLeaders Agree, The Revenue Cycle Needs More Denials Management Expertise
Hundreds of leaders were asked which rev cycle tasks require the most subject matter expertise.
Revenue Cycle3 Ways One Leader Streamlines Denials Management
Denials aren't going anywhere, but streamlining how you manage them will help improve revenue cycle operations.
Revenue CycleDefending Revenue Cycle Claims in Light of New Payer Policies
Cigna recently made a big change in how they will pay certain claims.
Revenue CycleTargeting Your Approach: Fighting Payer Denials in Revenue Cycle
One leader has found that using a targeted approach by creating contract experts is a key to warding off payer...
Revenue CycleDenials Management Once Again Strikes a Chord with Revenue Cycle Leaders
Revenue cycle leaders were asked to rank the most time-consuming tasks at their organization, and the results aren?t surprising.
PayerFeds Move to Rein In Prior Authorization, a System that Harms, Frustrates Patients
Few things about the American healthcare system infuriate patients and doctors more than prior authorization.
Revenue CyclePreventing and Defending: 2 Keys to Reducing Clinical Validation Denials in the Revenue Cycle
The director of CDI/utilization review at Avera Health reviews two key areas needed to shore up clinical validation denials.
Revenue CycleCost of Denials Saw 67% Increase in 2022
The average health system saw 110,000 claim denials due to prior authorization and other factors in 2022, a recent study...
Revenue Cycle2023 Set to Be Big Year for Denials Management
A recent survey highlighted how payment cuts are affecting denial strategies.
Revenue CycleReducing Denials Tops the List of Priorities for Revenue Cycle Leaders
Claims denials are increasing between 10%-15% according to a recently released survey.
PayerConsumer Advocates, Union, Cheer California's Health Plan Accountability Act
Civil penalties for illegal denial of coverage were increased from $2,500 to $25,000 per violation.
PayerMolina Healthcare of California Slapped with $1M Fine for Delayed Payments
Molina has also paid $80 million in disputed and delayed claims to providers, plus $1.8 million in interest.