Six Common Claim Denial Causes for Hospitals

Since 2008, the American Medical Association (AMA) has taken the lead to bring reform to the medical billing and payment system. Even amidst the COVID-19 pandemic, the AMA played a crucial role in shaping the federal response to the omnibus legislative package in December 2020. While healthcare organizations may still end up with a denial rate of less […]

Client Success Strategy

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Our team invests in a strategic partnership with our clients, focused on minimizing denials and ensuring appropriate reimbursement.  Advent’s clinical expertise, joined with revenue cycle technology, provides unparalleled strategic revenue integrity client success. Our objective is to be the partner utilized to bridge current and future gaps within clinical reviews and provide detailed information and […]

Improving Denial Appeal Rates & Implementing Pre-Bill Reviews

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/ Pre-Bill Reviews / Denial Management /   METROPOLITAN HOSPITAL  600+ BEDS When the newly hired operations executive arrived at the 600+ bed acute care hospital in the Northeast, she immediately identified her first challenge: a facility denial rate almost triple the national average. Plus, her initial assessment determined that this metropolitan hospital lacked the […]

Outpatient Denial Management at Northeast Health System

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/ OUTPATIENT / DENIAL MANAGEMENT /  This extensive Northeast health system, consisting of 30+ hospitals with more than 7,000 beds, found it challenging to work all of their outpatient claims appeals. THEN While the business operations were largely centralized, the limited clinical resources tasked with defending denied claims were navigating multiple EMRs and systems, as […]