Healthcare Analytics, Population Health Management, Healthcare Big Data

Revenue Cycle Management Resources

Case Study: Ensuring Financial Stability to Better Serve the Patient Community

Valley Day and Night Clinic has five locations spread across the Rio Grande Valley and Laredo in southern Texas. All the clinics are dedicated to providing affordable, reliable quality care to about 15,000 patients every month. Download thi... Download white paper

Revenue Cycle Management Best Practices Guide

The critical role of effective revenue cycle management (RCM) is unprecedented in healthcare. As multiple regulatory initiatives converge with existing demand for faster billing cycles and cost containment, provider organizations face a per... Download white paper

Overcoming Payment Obstacles to Improve Patient Satisfaction and Practice Cash Flow

Consumers’ share of out-of-pocket medical expenses has increased dramatically over the last 15 years.  Out-of-pocket spend reached $365 billion in 2017 alone, representing a 3.6% increase from 2016. At the same time, taking a cue... Download white paper

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

11 Ways to Master your Healthcare Data with Datawatch

Healthcare organizations often fail to achieve full visibility into their business and leverage the value of their data for trusted analytical outcomes. Data usage, management and governance shortcomings negatively impact Revenue Cycle Mana... Download white paper

Preparing the Healthcare Revenue Cycle for 2019

Healthcare is constantly evolving. New payment models are shifting the focus away from traditional fee-for-service, while innovative technologies are automating everything from patient registration to claims management and medical billing. ... View webcast

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

Key Considerations for Payers Moving to the Cloud

The healthcare industry is undergoing significant transformation in its use of hardware, software, and storage, with many leading institutions moving to the healthcare cloud to improve performance and at the same time cut costs by optimizin... View webcast

Creating a Patient-Focused Healthcare Revenue Cycle

Healthcare is becoming much more consumer-focused as patient financial responsibility rises and technology puts healthcare information in patient hands. Healthcare organizations are focusing on meeting the needs and demands of their patient... View webcast

Infographic: Optimize Costs with Effective Medical Cost Management

As medical costs continue to rise, insurance providers can find it difficult to meet member and provider demands and stay within budget. In this case study find out how one provider was able to transform their organization with the help of ... 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

How Payers Can Save an Average of $25,579 Per Patient by Eliminating Unwarranted, Non-Evidence-Based Cancer Treatment

Evidence-based care leads to better clinical outcomes, but how does it affect your cost? A multi-year study performed in association with professionals from Abramson Cancer Center of the University of Pennsylvania and Johns Hopkins Carey Bu... 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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