White Papers

MVA claims only make up a small percentage of the overall number of claims processed by healthcare providers, but they correspond with millions of dollars in revenue, and can have a higher reimbursement rate when compared to commercial insurance.

It’s no secret that workers’ compensation claims are complex and littered with challenges. Despite being a fraction of a hospital’s overall revenue, these claims typically drain resources and create more questions than answers. Since complex claims management is such an unknown to many within the revenue cycle, it is helpful to understand what workers’ compensation […]

The Department of Veterans Affairs partners with health systems to support Veteran care. As commercial carriers moved into the 21st century, hospitals are still struggling with old VA processes impacting reimbursement. Download the white paper and learn the intricacies of the VA to successfully capture revenue for these complex claims.  

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 […]

Healthcare providers are struggling with the constantly changing reimbursement, regulatory requirements of the healthcare complex claims environment and the ever-increasing cost of healthcare. A tremendous starting point for the revenue cycle is to incorporate a healthcare analytics program into their base functionality.

Healthcare providers are struggling with the constantly changing reimbursement, regulatory requirements of the healthcare complex claims environment and the ever-increasing cost of healthcare. A tremendous starting point for the revenue cycle is to incorporate a healthcare analytics program into their base functionality.

The size of the resulting missed opportunity should not be underestimated. Healthcare reform has expanded access to care; however, it has also added complexity, as has market trends (i.e., prior-authorization requirements) and other new government requirements. These forces, along with the consumer-driven nature of healthcare, providers have and will continue to compensate for the historic […]

Fifteen cents of every US healthcare dollar is associated with revenue cycle inefficiencies. Of the $3.9 trillion the country spends annually on healthcare, almost $500 billion is a result of claims processing, payments, billing, revenue cycle management (RCM), and bad debt issues; in part, because half of all payer-provider transactions involve inefficient methods. Enhanced solutions […]

Healthcare providers and insurance companies are struggling with the increasing cost of revenue management and the ever-changing reimbursement/regulatory/administrative requirements of the healthcare environment.  The Pre-Service Clearance Program provides a comprehensive suite of patient centric programs to provide solutions to resolve these issues through an enhanced scope of revenue management services, teamed with a world-class experience […]