Blog

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 […]

Every year, hospitals repeatedly miss out on millions of dollars in complex claims reimbursement. Opportunities can be missed for a plethora of reasons, the primary ones being weaker processes due to the specialization complex claims require and denials because complicated state guidelines are not followed.  All EnableComp clients benefit from the complex claim expertise provided […]

Having worked for years on both sides of the Provider/Payer spectrum, it has always surprised me how little each side knows about the other when it comes to the medical billing and payment, especially with hospital bills. Usually when I speak with colleagues in the Insurance industry they have lots of opinions about hospitals and […]

Another year has come and gone. An old timer once told me, “The older you get, the faster the years go.” He was right. This has been a great year for EnableComp.  Regardless, where do you start when reviewing an entire year for the Company? What do you review since so much happens in the […]

  Throughout my career as a managed care professional in the workers’ compensation industry, I have had the privilege of working with insurance carriers, third party administrators, bill review companies and medical providers alike. I have seen many innovative and successful payment mechanisms bring speed and efficiency to an administratively bloated and vastly outdated work […]

We just finished our 3rd annual Innovation Week at EnableComp, which is a formal call asking our employees one important question: How can we, as a company, do things better, faster and smarter? Innovation is one of our six core values, and we believe as an organization that our employees are a great source for […]

Along with ringing in the New Year, many people resolve to make lifestyle changes (or resolutions) to accomplish certain goals and make it great. There is no reason why Revenue Cycle executives shouldn’t use this time to re-examine their business line strategies. Workers’ Comp (WC) claims are notoriously difficult to manage for several key reasons. […]

Most hospitals that I encounter have at least a few Preferred Provider Organization (PPO) Network contracts that include workers’ compensation. Some have dozens. These contracts range from super simple 1-page Letters of Agreement, to massively complex multi-line managed care agreements. Hospitals typically devote staff to developing and managing these contracts, but just as is true […]

At EnableComp, Fun is one of our six core values and it’s something that we try and incorporate into our regular work schedule. Whether it’s playing a game of ping-pong in the fun room with the CFO or challenging your colleague to a game of Mario Kart on the Wii, we know fun! One of […]