Reducing Financial Risk Associated with Major EHR and Software Implementations
Like costly home improvement projects gone awry, electronic health record (EHR) and revenue cycle management software implementations don’t always pan out as intended for hospitals and health systems. But with the right tools and proper planning, potential issues can be minimized.
Pre write-off Insurance Collections Help Convert Denials to Cash
Hospitals often assume they have no choice but to accept denial write-offs as an unfortunate but inescapable fact of life. But just like football teams that push the ball over the goal line in a final effort to score a touchdown on a fourth down, hospitals and health systems are turning to pre write-off insurance collections to make one last attempt to pull cash to their bottom line.
Top Two Contractual Issues That Trigger Denials
If you want to be sure payers consistently reimburse your organization in a timely and accurate manner, it’s important to comply with all contractual requirements – while making certain the payer does, too. Learn more about two major issues that can trigger contractual denials.
Keeping the Power On: Tracing Problems that Can Trigger Coverage Denials
Insurance coverage issues that result in denials are a bit like electrical problems: If there is a faulty link or bad connection between the patient and payer, the circuit is broken, a denial is sparked and power–in this case, cashflow–is interrupted. Learn how to trace the provider-payer “wiring” early to ensure proper reimbursement.
Utilization Denials Take Many Forms
Who hasn’t experienced trying to buy something online, but the order locks up because some key piece of information is missing or wrong? Usually, the online interface will flag the data in question, so you can quickly make the change and submit your order. Unfortunately, this kind of automated safeguard doesn’t exist in most hospital billing systems when it comes to filing insurance claims.
