White Papers

How Are Hospitals Adjusting to the Growing and Complex Problem of Denials?

How Are Hospitals Adjusting to the Growing and Complex Problem of Denials?

Technology is a necessity if you want to successfully address your denial rates. There are too many gaps and errors associated with manual processes, and trying to stay on top of all the intricacies of managing healthcare claims, such as filing deadlines, is very cumbersome when attempting to do this manually. The reality of denials […]
The Motivation Behind the Proliferation of Urgent Care Sites

The Motivation Behind the Proliferation of Urgent Care Sites

If we look at healthcare as a three-legged stool, we have the three P’s – payers, providers, and patients. The power of the patient has grown over the last decade as the high deductible health plan has become the norm. All three of the actors in the healthcare play have adapted and changed in various […]
How ICD-10 Increased Denials – Overcoming a Legacy of Coding Errors

How ICD-10 Increased Denials – Overcoming a Legacy of Coding Errors

One of the biggest challenges healthcare systems face is the amount of revenue lost to denials – both in terms of the effort spent trying to collect and lost revenue for services rendered. A Change Healthcare study found that nine percent or $262 billion in claims are initially denied. For a health system, this means […]