3 Considerations for Denial Avoidance
3 Considerations for Denial Avoidance Imagine a scenario where a patient needs a necessary surgery like a prostatectomy due to prostate cancer. When the provider and patient decide to move forward with the surgery, it’s essential to set a precedent by talking to both the patient and the insurance company to find out what the […]
Client Success Strategy [Video]
https://vimeo.com/613690679/f4d5350381?share=copy 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 an unparalleled client success strategy. Our objective is to be the partner utilized to bridge current and future gaps within clinical reviews and provide detailed information and […]
Achieve Denial Avoidance in ICU Stay Documentation
Our Strategy for Hospital ICU Stay Documentation Learn more regarding how Advent Health Partner’s Revenue Integrity Consulting team can leverage Optics reporting, our denial management analytics delivered in drill down dashboards, to help hospitals and health systems implement denial avoidance programs. Keep reading for a specific example of our team utilizing Optics data to help […]
5 Tips for Healthcare Providers to Better Prevent DRG Downgrades
Why learn to prevent DRG downgrades? The clinical downgrading of diagnosis-related groups (DRG), or DRG downgrades, has become an extremely problematic issue for healthcare providers over the past decade. Overall, denials related to DRGs are increasing; downgrading target DRGs without even requesting documentation can also happen. One healthcare system, for example, found that DRG downgrades […]
Outpatient Appeal Management at Northeast Health System
The Challenges An extensive Northeast health system, consisting of 30+ hospitals and more than 7,000 beds, found it challenging to manage their outpatient appeal managements. While the business operations were largely centralized, the limited clinical resources tasked with defending denied claims were navigating multiple EMRs and systems, as well as having to write persuasive appeals […]