Revenue cycle management (RCM) stands as the linchpin that determines the financial vitality of healthcare organizations and payers alike. We will delve into proven strategies tailored specifically for healthcare organizations and payers to streamline and accelerate their revenue cycle.
Delve into the central concept of cost effective healthcare, delving into how skillfully maintaining this balance is not just attainable but also indispensable for optimizing payer operations.
Denial management involves navigating the complex web of insurance claims, reimbursement processes, and regulatory compliance to ensure that rightful reimbursements are received for services rendered. This blog aims to delve into the strategies that empower healthcare providers to crack the code of denial management, achieving optimal financial outcomes while upholding the quality of patient care.
Data Collection is key. Healthcare now relies on increasingly large amounts of data for maximizing both artificial intelligence (AI) and revenue cycle management (RCM) systems. BHM Healthcare Solutions understands the value of data in getting healthcare organizations to next-gen analytics.
In 2015, cancer deaths cost the U.S. $94 billion in lost earnings, according to a study published in JAMA Oncology.
Payer denials is the top revenue cycle challenge facing hospitals today, according to a study conducted by Besler and HIMSS Media.
The American Medical Association passed its first policy addressing augmented intelligence in the healthcare industry during its annual meeting in Chicago, which ran June 7 to June 13. The policy suggests tasks for the AMA to address regarding the use of AI in healthcare, with a focus on encouraging healthcare stakeholders and federal policymakers to prioritize "user-centered design." The initiative builds on a proposed a "baseline policy" the association laid out in a May report to its board of trustees.
The prices hospitals negotiate with health insurance companies vary enormously within and across geographic regions in the United States, according to a new study coauthored by Zack Cooper (Yale), Stuart Craig (University of Pennsylvania), Martin Gaynor (Carnegie Mellon), and John Van Reenen (London School of Economics).
Analyzing your revenue cycle from start to finish can lead to recouping significant revenue dollars for your organization. Knowing what are the most impactful metrics sets revenue cycle experts apart.
Analyzing your revenue cycle from start to finish can lead to recouping significant revenue dollars for your organization. Knowing what are the most impactful metrics sets revenue cycle experts apart.