Attacking the Root Causes of Radiology Denials

Radiologists face unique challenges when it comes to getting paid. Coding for imaging is complex and multi-faceted, and documentation must be thorough and precise. In addition, unlike most other specialists, radiologists are usually dependent on the referring physician’s office or emergency department to document medical necessity or ensure that any required prior authorizations are obtained.

HFRI Acquisition Extends Revenue Cycle Capabilities

HFRI is excited to join forces with PARA to deliver an unmatched revenue cycle solution that will further reduce AR cycle time, help providers generate more revenue, and improve patient satisfaction with increased pricing transparency.

Reducing Denials in the Emergency Department

Hospital emergency departments serve as important gateways for inpatient admissions, making it essential to capture patient information, especially insurance data, at the time of service to help prevent denials.

Appealing Medicare Advantage Denials Can Pay Off

Despite a high probability for success, just one percent of Medicare Advantage (MA) reimbursement and pre-authorization denials were appealed by providers and beneficiaries between 2014 and 2016. Hospitals and other organizations need to pursue the MA appeals process to ensure every dollar you’re entitled to is received.

Improve Denial Management with Intelligent Automation

Like an injury that won’t heal, claim denials represent a chronic and growing financial problem for hospitals and other providers, both in terms of lost revenue and the ongoing costs of remediation. Using intelligent automation to automate root cause analysis and the accounts receivable recovery and resolution process can have additional benefits over standard technology.