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Denial Management

Denial Management

Minimizing Healthcare Claim Denials

A denial-free revenue cycle is something every provider strives for but seems nearly impossible. The industry average denial rate is above 10% and going up. Revenue cycle specialists see a multitude of reasons for claim denials. Here are a few tips for minimizing claim denials: Start at the Beginning The Read more…

By Data-Core Healthcare, 3 days3 days ago
Denial Management

5 Reasons Providers Are Seeing Increased Claim Denials

Providers have reported a surge in claim denials and reimbursement delays. According to a study by the American Hospital Association (AHA), 91% of interviewed providers indicate experiencing an increase in denials. Over half (51%) of those providers deemed the increase as “significant”. While claim denials are not a new stressor, Read more…

By Data-Core Healthcare, 2 weeks2 days ago
Denial Management

Artificial Intelligence and its Future in Healthcare

Revenue Cycle Management is the driving force in ensuring hospitals and healthcare facilities maintain a healthy balance sheet. Unfortunately, COVID has caused 86% of healthcare providers to see a decrease in revenue, according to a survey by HFMA. President of TruBridge, Chris Fowler, stated in the survey report, “In general, Read more…

By Data-Core Healthcare, 2 months2 months ago
Denial Management

Real-Time Data in Revenue Cycle Management

The healthcare industry must emphasize the importance of minimizing the often unnecessary cost burden associated with reworking of claims due to denials. This can be accomplished by identifying possible claim denials and correcting them before submission. The key to improving this aspect of the revenue cycle is real-time data. More Read more…

By Data-Core Healthcare, 5 months5 months ago
Coronavirus

How to Improve COVID-19 Related Claim Denial Rates

Payers denying healthcare insurance claims is something we all are very familiar with. Whether the claims are denied for missing information, incorrect medical coding, or anything in between, 9% of claims are initially denied, on average. The national pandemic has caused its fair share of additional denials. New Jersey Hospital Read more…

By Data-Core Healthcare, 7 months7 months ago
Denial Management

Need for Management of Complex Denials

Improved medical claim management has been a necessity in the healthcare industry for some time. According to an article in Becker’s Hospital Review, a study showed that 62% of the healthcare executives interviewed noted declining reimbursements to be the most pressing challenge within their health systems. The healthcare industry sees Read more…

By Data-Core Healthcare, 10 months9 months ago
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