Proper Reimbursement Payer Policies [Webinar]

Proper Reimbursement

When aiming to ensure proper reimbursement for your hospital or health system, many variables are involved to continually refine payer policies to individual chargemasters. In this webinar recorded in partnership with HFMA Region 9, Deborah Horne, Advent Health Partners’ Vice President of Clinical Operations, discusses the current challenges in receiving reimbursement. She walks through a case […]

Denial Management Trends for 2021

Denial Management Trends for 2021 While medical necessity remained the number one type of denials in 2021, our team has seen three additional denial management trends emerge as significant sources of denials. If your hospital or health system is experiencing any of these denials, know that there are answers and ways to prevent them from […]

5 Strategies to Help Interpret Denial Data

Three business people are sitting around a tablet computer and various printed charts reviewing data.

Data and data analysis are an integral part of denial management. In some cases, denial management teams need help identifying the important information or the trends they should be looking for. The five strategies below can help teams interpret denial data and best utilize it within the denial appeal process. 1. Analyze your trends for […]

3 Considerations for Denial Avoidance

A close up of a female doctor using the tablet. She is wearing a dark blue top and has a stethoscope around her neck.

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 […]