Denials

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 […]

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 […]

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 […]

Establishing Undeniable Proof to Fight Denials and Win at Community Health Network

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 […]

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 […]

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 […]

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 […]

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  

Moffitt Cancer Center is dedicated to partnering with patients and their families to provide a quality experience. With this mission in mind, the center recognized a need to redesign front-end workflows to improve operational efficiency, financial integrity and patient experience. The revenue cycle team at Moffitt sought strategies to improve patient experience while maintaining performance […]