The Best Practice for Creating a Patient-centric Revenue Cycle? Make sure there are no surprises.
Clear communication combined with a smooth revenue cycle create an opportunity to protect revenue and raise patient satisfaction.
Are You Frustrated by Stubborn Denials? I’ve Been There!
Exploring a solution outside of traditional healthcare technology got to the root of the problem and raised revenue.
How a Health System Overcame Authorization Denials to Collect More Revenue, Improve the Patient Experience
The revenue cycle team at Bon Secours Health System knew what the problem was – the lack of infusion treatment authorizations resulting in denied claims and write-offs. The challenge was where to find a solution. They turned to Effy Healthcare and RAID Healthcare Business Assurance for help.
The Top 4 Ways to Avoid COVID-19 Claim Denials
Contrary to what many in the public have been led to believe, not all claims relating to COVID-19 are covered by insurance. Here are four strategies to prevent denials before they happen.
Healthcare Business Assurance: The Next Step of RCM Evolution
Healthcare RCM technology has been evolving for decades. Some organizations have begun looking outside of healthcare to find the capabilities they need to continue their drive toward operational efficiency and new reimbursement model management. The answers they are looking for may come from an unlikely industry – telecommunications.
INFOGRAPHIC | 5 Top Claim Denial Causes in Healthcare
Each new denial represents a painful financial drain on healthcare practices and organizations. Even when claims are recovered, the administrative costs associated with that recovery represent a leak from patient revenue. Check out the 5 Top Claim Denial Causes in Healthcare, ranked accordingly with our own experience.
INFOGRAPHIC | Healthcare's Top 10 Revenue Leakage Causes
Healthcare's Revenue Cycle Management (RCM) is very complex and challenging to manage efficiently. Find out here the top 10 sources of lost revenue and cost drain (leakage) and how Effy Healthcare powered by RAID may help your healthcare organization prevent leakages to happen in the first place.
Operational vs. Actionable Analytics
In the light of the unfortunate recent event of the COVID-19 pandemic, a growing number of hospital leaders, more than ever, are understanding the value of real-time data analytics versus the limitations of operational data analytics to address and promptly solve problems in every aspect of operations.
The strategic importance of having continuous auditing and improvement solution for your RCM
Amidst all the COVID related events of the past few weeks, many, if not most, health systems are facing increased complexities to the health system’s RCM processes throughout the enterprise. Furthermore, the difficult in keeping track of government policies daily changes, plus the fact that different payers are taking different approaches, results in massive sets of disparate data to be reconciled and reviewed.