denial management
publication date
Revenue Cycle
How Health Insurers Have Made Appealing Denials So Complicated
Health insurers reject millions of claims for treatment every year in America. Corporate insiders, recordings, and internal emails expose the...
Revenue Cycle
First Wave of UHC Prior Auth Cuts Begin, But Will it Matter?
In an effort to soften the payer/provider relationship, many large health insurers are rolling back on prior authorizations.
Payer
Doctors and Patients Try to Shame Insurers Online to Reverse Prior Authorization Denials
Insurers say the prior authorization helps them control costs.
Revenue Cycle
Most-Read Revenue Cycle Articles in Q2 2023
Check out the most-read revenue cycle articles from the past quarter.
Revenue Cycle
Leaders Agree, The Revenue Cycle Needs More Denials Management Expertise
Hundreds of leaders were asked which rev cycle tasks require the most subject matter expertise.
Revenue Cycle
3 Ways One Leader Streamlines Denials Management
Denials aren't going anywhere, but streamlining how you manage them will help improve revenue cycle operations.
Revenue Cycle
Defending Revenue Cycle Claims in Light of New Payer Policies
Cigna recently made a big change in how they will pay certain claims.
Revenue Cycle
Targeting Your Approach: Fighting Payer Denials in Revenue Cycle
One leader has found that using a targeted approach by creating contract experts is a key to warding off payer...
Revenue Cycle
Denials Management Once Again Strikes a Chord with Revenue Cycle Leaders
Revenue cycle leaders were asked to rank the most time-consuming tasks at their organization, and the results aren?t surprising.
Payer
Feds Move to Rein In Prior Authorization, a System that Harms, Frustrates Patients
Few things about the American healthcare system infuriate patients and doctors more than prior authorization.
Revenue Cycle
Preventing and Defending: 2 Keys to Reducing Clinical Validation Denials in the Revenue Cycle
The director of CDI/utilization review at Avera Health reviews two key areas needed to shore up clinical validation denials.
Revenue Cycle
Cost of Denials Saw 67% Increase in 2022
The average health system saw 110,000 claim denials due to prior authorization and other factors in 2022, a recent study...