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 | 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...
by David Agarth | Jan 23, 2020 | Blog, Uncategorized
IF YOUR DENIALS RATE SEEMS TO BE GETTING WORSE, YOU’RE NOT ALONE Many providers just accept denials as an unavoidable part of the revenue cycle. But the damage caused by that mindset goes directly to the bottom line. Denial-related write-offs increased more than 90%...
by David Agarth | Dec 17, 2019 | Blog, Uncategorized
The holidays can wreak havoc on a hospital’s bottom line. The annual increase in ED visits means an increase in post-holiday self-pay collections. When the hospital bill arrives at the same time the credit card bills hit, collecting becomes that much more difficult....
by David Agarth | Dec 3, 2019 | Blog, Uncategorized
According to Consumer Reports, the incidents of heart attacks falls, and fires around the home increase during the holidays. [1] And this means a spike in visits to the E.D. around Thanksgiving, Christmas, and New Year’s Eve. Just as E.D. visits increase, so do...
Recent Comments