Most organizations take an administrative approach to managing denials. Maybe that’s why they’re not collecting as much as they should.
Health First, a fully integrated health system in Central Florida, struggled with a variety of challenges at the front-end of the revenue cycle, and needed a way to empower Patient Access to easily capture accurate and timely data, engage patients, and improve point-of-service collections. With the help of new patient financial clearance and QA technology, Health First implemented a unique approach emphasizing employee accountability for registration accuracy, clean claims, and increased...
Providers don’t usually think of patient access and revenue cycle analytics as a pair, but when you bring them together to guide process improvements, it can lead to significant savings — potentially millions of dollars for a single facility.
Claim denials sap the life out of providers, leading to lost or delayed revenue, wasted time, and tons of frustration. And it’s only getting worse as providers switch to more complex value-based payment models.
To reduce denials, provider organizations need to evolve from putting out fires one denial at a time to a systemic approach that blends claims management and denials management into a holistic process.
Doing so can have a significant impact on any provider organization’s bottom...
Higher out-of-pocket costs for patients meant more unpaid bills for Henry County Health Center in Mount Pleasant, Iowa. By using RelayClearance Plus, their point of service collections doubled in just six months.
Today, we think of value-based care, bundled payments, and interoperable HIT systems as contemporary, cutting-edge topics. But they really are not.
In this white paper, McKesson Health Solutions CTO Michael Wood explains how interoperability unlocks silos in enterprise applications and connects the business logic needed to support value-based reimbursement.