Denials

Blogs, Denials

How to Win the Battle of Denials Management

9/3/2020

Proof! Insurance Companies Demand It. Does Your Team have the Resources to Produce It? Every day in every hospital and healthcare organization across the country, teams are faced with a common challenge that is as old as the practice of medicine itself. Even under the best of circumstances, hospitals have disputes with insurance payers over […]

Case Studies, Denials

Refining Areas of Focus for Better Patient Care

6/5/2020

Situation As a trauma hospital that gets mostly stop-loss accounts, St. Francis needed a solution that would help them decrease denials, reduce discharge time and increase case management’s time with patients. Many of St. Francis’ denial challenges were related to claims denied due to lack of clinical information. With so many insurance companies needing clinical […]

Case Studies, Communications, Denials, Patient Experience, Quality Assurance

Closing the Gaps in Healthcare Communication

5/15/2020

Sarasota Memorial Health Care System’s (SMHCS) customer service motto aims to “deliver quality patient experiences beyond discharge.” Aligned with this objective, SMHCS sought to improve quality and performance among its teams to better serve its patients, families and physicians. The hospital focused its improvement efforts in key areas of revenue cycle including Scheduling/Insurance Verification, Registration […]

Healthcare IT Webinars, Denials

3 Keys to Winning Against Clinical Denials

11/19/2019

Leverage Trace to Help Overturn Denials Community Health Network shares best practices used to reduce denials and streamline denial management efforts across the continuum. Efforts include collaboration among clinical and revenue cycle teams, a focus on front-end prevention and a team approach with clearly defined processes for each role. In 2018 alone, the network recovered […]

Blogs, Denials

Denials Management: Making the Change

7/10/2018

At Moffitt Cancer Center, a robust denial prevention program resulted in reducing denials from 14% of gross charges to 8% of gross charges billed. The process involves a multidisciplinary team, a data-driven strategy, a preventative approach and a missional, patient-centric perspective that extends across the organization. The process involved creating a multidisciplinary steering committee, then finding […]

Blogs, Denials

Denials Management: Finding the Root Cause & Creating a Plan

7/5/2018

At Moffitt Cancer Center, a robust denial prevention program resulted in reducing denials from 14% of gross charges to 8% of gross charges billed. The process involves a multidisciplinary team, a data-driven strategy, a preventative approach and a missional, patient-centric perspective that extends across the organization. The first step to their success was the creation of […]

Blogs, Denials

Denials Management: Creating a Steering Committee

6/13/2018

At Moffitt Cancer Center, a robust denial prevention program resulted in reducing denials from 14% of gross charges to 8% of gross charges billed. The process involves a multidisciplinary team, a data-driven strategy, a preventative approach and a missional, patient-centric perspective that extends across the organization. The first step to their success was the creation of […]

Blogs, Denials, HIMSS

HIMSS Revenue Cycle Summit: Reducing Denials Through Automation

2/28/2018

Today’s health systems are significantly challenged by denials.  This has a direct impact on revenue, payment delays, and administrative dollars wasted appealing denied claims. There are solutions to fix this problem. Automating your financial workflow through centralization and documentation is one place to start. Moffit Cancer Center saw exceptional results from the denials management program […]

Case Studies, Denials

The Executive’s Guide to Implementing a Denials Program

2/5/2018

At Moffitt Cancer Center, a robust denial prevention program resulted in reducing denials from 14% of gross charges to 8% of gross charges billed. The process involves a multidisciplinary team, a datadriven strategy, a preventative approach and a missional, patient-centric perspective that extends across the organization. Click Here to Download  

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