The denial challenge is getting tougher. In Experian Health’s latest State of Claims 2024 survey, almost three-quarters of healthcare administrators agree that claim denials are increasing....
According to a new report by the American Hospital Association, administrative costs now make up over 40% of total hospital expenses. Hospitals and health...
Improving patient access is often a heavy lift for healthcare providers thanks to staffing shortages, lack of thorough staff training, inefficient processes and more....
Claim denials are a well-documented challenge for healthcare organizations. Denied claims take much longer to pay out than first-time claims, if they get paid...
Health payers created the prior authorization system as a cost and quality control strategy, ensuring patients receive only the most necessary, evidence-based, cost-effective and...
Reimbursement issues in the healthcare industry are complex, but reimbursement is essential for healthcare organizations. Proper reimbursement allows providers to run operations efficiently and...
What happens when payers don’t comply with contract terms? What if a provider overlooks the fine print? Contracts between healthcare providers and payers are...
Despite increased access to claims management technology, claims denials are still on the rise in 2024. Contributing factors include growing healthcare costs, stricter payer...
Could a more targeted approach to patient collections help providers maximize revenue? Wooster Community Hospital (WCH) has proof that it can – to the...
