News

Three Developments Impacting Providers in 2017

12.05.2017

Technological advances in the healthcare industry are among the most interesting developments every year, and 2017 was no different. For my end of the year look-back, I’m going to focus on three areas that experienced significant growth and became more mainstream for providers and patients.
 

65% of Denied Claims Never Resubmitted to Payers, Causing Provider Revenue Loss

11.14.2017

Denied claims are so commonplace in medical practices, nearly 65 percent of them are never reworked by providers. That’s just tossing away money that the practice has already earned for treatments and consultations staff have already provided. A full 50-65 percent of denied claims are never reworked and resubmitted, according to the Healthcare Business Management Association.
 

Four Tips to Make Your Revenue Cycle Management Successful

10.05.2017

Providers have submitted claims to a “clearinghouse” as their revenue cycle management (RCM) solution for years. This now-antiquated term describes a process designed to edit and submit claims to the payer. But those who continue to view RCM as a simple transfer of data are missing out on potential savings and income, and more efficient and accurate claims processing.
 

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