denials
publication date
Revenue Cycle
Emergency Physicians Call United Healthcare's ED Denial Policy 'Dangerous'The American College of Emergency Physicians said that it "firmly believes that the new policy is in direct violation of...
Revenue Cycle
United Healthcare Will Deny or Limit Coverage for ED Commercial Claims it Considers Non-EmergentThe new policy will apply to "commercial fully insured ED facility claims in many states for dates of service on...
Revenue Cycle
33% of Hospital Executives Say Their Average Denial Rates are More Than 10%The average national denials rate is between 6% and 13%, but many organizations are nearing the denials "danger zone" of...
Revenue Cycle
3 Great Strategies from the Revenue Cycle Ideas ExchangeThree top revenue cycle leaders share their proven strategies for price transparency, increasing revenue, and reducing denials during the HealthLeaders...
Revenue Cycle
How Hiring A Denial Management Registered Nurse for Rev Cycle Contributed to $6M ROIThe UM denials management nurse has helped the rev cycle recognize trends, gain better insight into the tactics payers use...
Revenue Cycle
Q&A: New UnitedHealthcare GuidelinesWhile UnitedHealthcare will provide organizations with criteria to make status decisions for patients, it will not provide hospitals with the...
Revenue Cycle
Using Denial Analysis DataPerforming denial analysis on a regular basis will enable you to identify the top reasons for denials and develop action...
Revenue Cycle
6 Action Items for Your Denials Management PlanKimberly Scaccia, vice president of revenue cycle at Mercyhealth, outlines a methodical, multistep action plan for creating a denials management...
Revenue Cycle
Could Shared Accountability Make Denials Obsolete? Horizon BCBSNJ Leader Says, 'Absolutely'"This is not a classic relationship between a provider and a payer. In fact, what we're doing is blurring the...
Revenue Cycle
Claim Volumes, Staffing Issues Plague Rev Cycle During COVID-19 Erratic and unpredictable claim volumes is the top issue for rev cycle and finance leaders, finds a new survey.
Strategy
California Fines Aetna $500K for Wrongful Denial of EMS ClaimsAetna says it is working to correct the problem and is cooperating with state insurance regulators.