Strategies for Preventing and Managing Denials… ReMedics Denial Management business process automation and worklist solutions quickly isolate claim denials and defects. Denied claims are automatically captured, organized, and routed to the appropriate staff, facilitating timely and effective follow-up with third-party payors. Our extensive data validation processes also help to scrub and cleanse any cash application
What’s Your Revenue Cycle Goals for 2025? Let’s Talk About Denial Prevention With the Right Data Validation Tools and Business Intelligence (BI) Technology, You Can Prevent Many of Your Denials Claim errors that lead to denials can have a significant impact on your revenue cycle by delaying or reducing payments from health insurance payors. In
Reducing Errors and Denials with RPA & Machine Learning Healthcare claims and other billing documents contain a substantial amount of patient, provider and payor information that can originate from different HIT applications — which then leave room for error. Common issues include duplicate entries, incorrect coding and incomplete data. Any inaccuracies in the processing of
Providing the Tools to Maximize Staff Resources, Decrease Denials and Increase Cash Collections Healthcare Revenue Cycle Management (RCM) is one of the most complex, ever changing dynamic industries in the USA. Denials are a line of business for the insurance companies, so you need experts and/or expertly designed technology allowing you to impact actual denials
ReMedics Talks – Part Two of a Series Subject: Using Automated Data Validation Processes and Analytics to Prevent Claim Errors and to Identify the Root Cause of Recurring Denials Claim denials greatly impact the revenue cycle by delaying or reducing payments from payors to providers. And while denials can cause a significant amount of revenue
Denial Prevention and Increased Staff Efficiency Benjamin Franklin is credited with having coined the phrase, “An ounce of prevention is worth a pound of cure.” It’s as relevant today as it was in 1736, especially when it comes to healthcare payor denials. In a recent survey* reported by Becker’s Healthcare, over 500 Chief Financial Officers
Preventing and Managing Denials More Efficiently It’s no secret that claim denials can greatly affect the revenue cycle and profit loss. While appeals can be time-consuming and costly, it’s better than receiving no reimbursement at all. However, learning from past claim errors to avoid future denials with permanent revenue cycle improvements is the ideal solution
Organizational Techniques to Maximize Follow-Up Staff Efficiency Nothing is going to completely eliminate payor denials. In fact, denials are on the rise. According to a survey of 131 hospital executives* conducted in Apr-May of 2021, they reported a 20 percent increase in claim denial rates in the past five years. The average denial rate shown
Creating Permanent Change in Revenue Cycle Management… Denials Then and Now In the early days of denial management, the flow of rejected payments or underpayments was typically dealt with as a reactionary defense measure. Using technology to implement denial prevention strategies took a back seat to working denials after they had taken place. For most
