Healthcare Analytics, Population Health Management, Healthcare Big Data

Claims Reimbursement Resources

How You’re Leaving Money on the Table and What to Do About It

The administration that goes into running a hospital or health system involves a large amount of resources. Unfortunately, much of this administration is done without enough regard for the efficiency that can be achieved with technology. In... Download white paper

Final-Effort Insurance Collections can Lead to Major Cash Recovery

Too often, denial resolution efforts are abandoned by the hospital’s internal billing staff or primary accounts receivable (AR) management firm once the claim reaches a specific age. An estimated 65% of claim denials are never correct... Download white paper

Intelligent Automation Sparks A Revolution in Accounts Receivable Management

Sometimes an age-old problem needs a revolutionary approach. Combining intelligent automation, robotic processes and good old human ingenuity can help hospitals and health systems claim more of their denied, delayed and written-off claims t... Download white paper

The 7 Most Common Root Causes for Denials and Delayed Account Resolution

The struggle to stem chronic losses associated with rejected insurance claims reflects the complex nature of the reimbursement cycle. In a system that requires inputs from multiple points along the care continuum and is marked by frequent r... Download white paper

Preparing the Healthcare Revenue Cycle for 2019

Accounting for the patient in the healthcare revenue cycle will be a top priority for innovative healthcare organizations in 2019, according to the System-wide Director of HIM and Revenue Integrity at UC San Diego Health. The new consumer v... Download white paper

Creating a Patient-Focused Healthcare Revenue Cycle

As consumers enroll in high-deductible health plans and out-of-pocket costs rise, aligning the healthcare revenue cycle with patient needs is key to collecting revenue and increasing patient volumes. Going paperless is critical to creating ... Download white paper

The Economics of Inefficiency: What Are Missing Bills, Under-Coding, and Compliance Fines Costing You?

Hear how innovative healthcare organizations have achieved success dealing with common revenue cycle challenges.  Topics of discussion: Finding and dealing with missing bills and charges Training and simplifying medical bill coding Red... View webcast

How to Align Quality Oncology Care with Appropriate Reimbursement

Payers and providers spend a substantial amount of time and resources managing authorizations for oncology treatments. In fact, authorizations are among the most manual and costly administrative transactions for both payers and providers. M... Download white paper

FAQs: Choosing an Oncology Treatment Preauthorization Vendor

When searching for a partner to improve your cancer program, it is easy to become overwhelmed with the options. In these Frequently Asked Questions, we respond to payers’ most pressing questions about an online, evidence-based, oncolo... Download white paper

How Health Plans Can Exceed Industry Standards in Member Cancer Care

Improving member care has numerous benefits to both the member and the health plan; and technology-driven solutions can simplify compliance with evidence-based standards. See how one health plan tackled streamlining treatment approval, perm... Download white paper

Physician Advisor Programs: A Pillar of Thriving Provider Organizations

By making use of external resources that assist in developing, implementing, and maintaining high-quality physician advisor programs, hospitals can improve their financial performance and ensure that patients receive the most appropriate ca... Download white paper

Analytics is the Answer to Compliant Coverage Identification

Uncover hidden patient coverage. How do you uncover reimbursement sources for patients presenting as self-pay? New, stringent anti-phishing regulations prohibit traditional eligibility searches, but you can’t afford more accounts slip... Download white paper

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