Helping healthcare organizations proactively verify and search for missed insurance coverage
Review how one company helps healthcare organizations verify and search for missed insurance coverage throughout the patient lifecycle and stay on top of benefits coordination.
Customizing patient financing solutions and easing the financial burden for patients
Discover how a provider of patient financing company uses a patient-focused approach to ensure each patient receives the same care with their financial obligations as they do with their clinical care.
Improve cash flow and cost of reworking denials with the efficientC claim scrubber technology
In five years’ time, denial claims have shot up 20%. Learn about a decision support and claims management technology platform that stops claims before they get denied.
PMMC’s Contract PRO helps hospitals see an average 10 to 1 ROI
When the time comes to renegotiate payer contracts, one company’s contract management system “provides managed care leaders with the ability to model all commercial payer contract terms to quickly understand the impact on net revenue.”
Hospitals can recover all eligible Medicare bad debts by automating the Medicare bad debt review process
One company addresses the challenges of complex rules regulating Medicare bad debt processes and reporting, which makes payment recovery for hospitals difficult.
How Mercyhealth applied automation to fine-tune revenue cycle management
Mercyhealth, a health system based in Rockford, Illinois, was prompted by the COVID-19 pandemic to transform its revenue management processes and pivot to an automated approach that would enable leadership to track effectiveness of staff working at home.
Navigating the changes to revenue and billing practices in the No Surprises Act
In this roundtable, revenue cycle leaders discuss the anticipated challenges and strategies for approaching these challenges arising from the No Surprises Act, which went into effect Jan. 1, 2022.
The shift toward integrated pharmacy services: driving long-term success
One driving factor for health systems and hospitals shift to in-house integration pharmacy services is average turnaround time. For an outsourced specialty pharmacy, turnaround is 10 to 14 days, whereas an in-house specialty pharmacy can reduce that time to just 2.1 days.
Bruce Haupt: How the revenue cycle can help patients make healthy choices
The revenue cycle should be designed to give patients choices that help make healthcare more affordable for them, says Bruce Haupt, president and CEO of ClearBalance Healthcare. By clearly communicating those choices, organizations can promote improved health by encouraging patients to seek care they might otherwise have deferred.
How four health systems are using revenue cycle management robotics
Health system executives say that they were already using automation before the pandemic, and the pandemic led them to speed up the adoption process.