denial management
publication date
Revenue Cycle
HL Shorts: Rev Cycle Leader on Tackling Eligibility and Authorization
Payers and difficulties with eligibility and prior authorizations keep patients from getting the care they need.
Revenue Cycle
HL Shorts: How to Manage Increasing Denials
Health systems are struggling with a significant increase in denials from insurers.
Payer
Providers to Payers: Show Us The Money
A provider study highlights 2024 revenue cycle challenges and opportunities and payers are in the cross hairs.
Payer
Infographic: 5 Prior Authorization Updates For Payers
Many health systems and patients have struggled with prior authorization procedures.
Payer
A Doctor at Cigna Said Her Bosses Pressured Her to Review Patients' Cases Too Quickly. Cigna Threatened to Fire Her
Cigna tracks every minute that its staff doctors spend deciding whether to pay for healthcare. Dr. Debby Day said her...
Payer
Humana Expands Prior Auth. Partnership With Cohere Health
The platform is giving physicians faith in quick prior authorization turnaround.
Revenue Cycle
Round Up: How Cost Containment, Denials, and Cybersecurity is Defining Rev Cycle
There are three prevalent issues that defined the first quarter that leaders should know.
Revenue Cycle
Private Payers Retain Profits by Denying, Delaying Claims: What Rev Cycle Leaders Can Do About It
While health systems are doing their best to maintain financial stability, payers are doing their best to protect their profitability.
Payer
Gold Carding and Payers: What To Know
Gold Carding is expanding across the country with several states already implementing the legislature in some way.
Payer
States Target Health Insurers' 'Prior Authorization' Red Tape
Last year, lawmakers in 29 states and Washington, D.C., considered some 90 bills to limit prior authorization requirements.
Revenue Cycle
3 Revenue Cycle Challenges That Will Continue in 2024
Add these to your list of New Years resolutions.
Revenue Cycle
Denials Management is Costing Some Revenue Cycles Millions
A new report underscores the significant financial burden that denials pose for organizations.