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Denial Management

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, 3 months2 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, 5 months5 months ago
Revenue Cycle Management

Measuring RCM Performance – The Concept of Clean Claim Rate

Key Performance Indicators (KPIs) are used to measure how an organization or department is performing. Companies often evaluate and analyze their business processes against industry standards to see if there is room for improvement. With the help of industry leaders, the Healthcare Financial Management Association (HFMA) has comprised a list Read more…

By Data-Core Healthcare, 7 months6 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, 8 months6 months ago
Revenue Cycle Management

Artificial Intelligence in Revenue Cycle Management

What is Artificial Intelligence? Artificial Intelligence (AI) is defined as computers imitating “intellectual processes characteristic of humans, such as the ability to reason, discover meaning, generalize, or learn from past experience” with the ability to achieve goals. AI in healthcare is known to “help manage and analyze data, make decisions, Read more…

By Data-Core Healthcare, 9 months4 months ago
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