Navigating Payer Complexity: Tips for Managing A/R in Healthcare
Managing Accounts Receivable (A/R) in healthcare is a complex and ongoing challenge. The nature of payer systems means delays, denials, and inefficiencies that impact patient care.
Topic: Claims Submission
Top 10 Claim Adjustment Reason Codes (And Strategies to Avoid Them)
According to the American Hospital Association (AHA), 78% of healthcare organizations report worsening experiences with commercial payers. Additionally, 84% noted rising costs of complying with insurer policies, and 95% said staff were spending more time on prior authorization processes. That’s why it is important to understand the root cause of these denials to not only quickly resolve them, but also avoid them altogether.
Physician Billing Services Guide: From Denials to Revenue Recovery
Billing is the lifeline of physician practices, and every dollar lost to inefficiency or error is a dollar that could support patient care. Gaps in billing processes, frequent denials, and staff shortages can derail financial stability, making it harder to keep operations running smoothly.
White Paper: Navigating the Mid-Cycle Maze to Unlock Revenue Potential
This white paper highlights six top operational midcycle challenges, and proven methodologies and best practices that can help.
Healthcare’s Age of Liquid Data: Extreme Interoperability Sparks Personalized, Real-Time, High-Value Services
Two healthcare experts discuss the correlation between liberating liquid healthcare data and the potential it has to revolutionize healthcare and meet consumer demands.
