by Matt Vines | Apr 23, 2020 | Blog, Uncategorized
Surprise billing. It’s a term we’re all familiar with, one describing a too-frequent occurrence where patients receive large bills for services they didn’t realize weren’t covered. The primary culprit is an unexpected hospitalization or ED admission where treatment is...
by Matt Vines | Apr 16, 2020 | Blog
COVID-19 blindsided our nation. By the time we knew it was coming and that the impact would overwhelm our healthcare systems, hospitals found themselves scrambling. As of April 15, the number of COVID-19 cases in the US had risen to more than 614,180, with 26,061...
by David Agarth | Mar 17, 2020 | Blog
A Letter from David Agarth, CEO The rapid spread of the Coronavirus (COVID-19) reminds us all of the vital importance of hospitals, health systems, and caregivers in every community, in every corner of the world. Unfortunately, it seems our most difficult days may be...
by Matt Vines | Feb 20, 2020 | Blog
Of the nearly $1 trillion in wasted healthcare spending each year, $210 billion is due to excessive administrative costs related to payer-provider interaction [1]. An additional $170 billion is attributed to managing inaccurate payments. According to the American...
by Matt Vines | Feb 13, 2020 | Blog, Uncategorized
Have you noticed your payers denying more claims lately? It’s not your imagination. According to the Advisory Board, payers are using more sophisticated technology to catch and flag claims for denial, including potential DRG downgrades and medical necessity issues....
by David Agarth | Jan 30, 2020 | Blog, Uncategorized
FIVE OPPORTUNITIES TO REDUCE DENIALS AND MITIGATE THEIR IMPACT The Kaiser Family Foundation recently reviewed CMS data from 2017 and discovered that 18% of in-network claims were denied by issuers that year.[1] But that numbered varied from as little as 1% to as much...
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