Healthcare organizations are feeling the pressure of staffing shortages. There is a strong need to do more with less, and to make the most out of limited resources. The good news is that with the right tools in place, revenue cycle leaders are finding innovative ways to work smarter and focus their attention on higher priority, less manual tasks.
This white paper breaks down the importance of having purpose-built automation in place to streamline processes, simplify cross-training and onboarding efforts, and reduce administrative burden.
Download this content to:
Learn how automation drives efficiency, strengthens employee engagement, and improves the patient financial experience
Discover strategies to implement intelligent automation
Explore where technology allows for faster, fuller payments
Revenue Recovery Strategies for Hospitals and Health Systems
September 28, 2022
Financial challenges remain a consistent and growing concern for hospitals. These challenges stem from the global pandemic, like a shifting payer mix and a drop in elective procedures. Others have been here all along – complex medical billing rules, changing regulations, and bad debt, just to name a few – but have suddenly come into sharper focus. In this white paper, learn techniques for overcoming old and new revenue challenges by adopting a different perspective on the traditional claim lifecycle.
Conventional strategies for addressing reimbursement shortfalls are reactive: tracking down missing patient information, correcting claims errors post rejection, chasing delinquent self-pay accounts, and so on. A proactive approach that addresses issues before, during, and after a claim, on the other hand, is more effective in capturing revenue; it saves time and requires less labor.
Hospitals large and small are leveraging these strategies to stop revenue leaks, decrease days in A/R, improve cost-to-collect ratios and improve patient satisfaction. Download the white paper now to discover how more robust coverage discovery and eligibility verification solutions can help you preserve financial stability and position your organization for a more secure future.
Case Study: Transforming Financial Clearance and Prior Authorization Processes
September 26, 2022
With 15 hospitals in three states and almost four million patient visits per year, UCHealth needed to transform its processes for financial clearance and prior authorization in preparation for its next phase of growth.
Manual, high touch payer interactions, lack of payer authorization rules, and decentralized processes continued to negatively affect staff capacity, wasting up to 70% of staff time. This led to a near-constant need to hire more employees, higher than- necessary delays in securing authorization and increased denials and write-offs.
In this case study, learn how UCHealth was able to:
Is Technology the Answer to the Worsening Denials Problem?
September 23, 2022
Industry survey shows nearly two-thirds of providers audited claims technologies as denials increased during the pandemic.
While denials are not a new headache, they are a problem that worsened throughout the pandemic for most hospitals and health systems. A recent Experian Health–sponsored survey by HealthLeaders reveals denials increased at 80% of healthcare organizations since 2019, with 43% experiencing a 10% to more than 20% increase. Thirty percent of organizations say 10% to more than 15% of claims lead to a denial.
In this exclusive report, gain key insights into how leaders from across the healthcare ecosystem view the worsening denials problem along with various perspectives on the impacts of expanding technology.
Despite its relatively brief history, the role of the Chief Medical Information Officer (CMIO) has changed a lot in a few short decades. Originally, CMIOs oversaw the implementation and adoption of the electronic health record (EHR), but today, they are responsible for more complex, constantly changing initiatives requiring them to wear the hats of clinicians, IT experts, and department liaisons – to name just a few. So, what will this position look like in the future?
In this insight brief, we asked 10 CMIOs from across the country to answer one question: How will the role of the CMIO change in the years ahead, and what challenges or opportunities will this present?
From leveraging artificial intelligence to the importance of resilience to the standardization of workflows, their responses were wide-ranging, insightful, and certain to spark meaningful discussions within health systems and beyond.