Tag: automated claims processing

Claim Denial Codes

Claim Denial Codes: Reduce Denials & Boost Healthcare Revenue

Claim denial rates are a significant challenge for healthcare providers, with substantial variations based on payer type, location, and specific insurance companies. To understand these variations, it’s crucial to analyze the specific claim denial codes issued by each payer. While the industry standard for claim denials hovers between 5% and 10%, certain payers, notably those […]
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Revenue Cycle Management trends

RCM Trends for 2025: Redefining Efficiency and Patient-Centric Billing

2025 promises to bring transformative changes to Revenue Cycle Management (RCM) in an ever-evolving healthcare landscape. To navigate financial complexities and enhance patient satisfaction, healthcare providers must stay on top of emerging 2025 Revenue Cycle Management trends as they emphasize efficiency, transparency, and patient-centered care. In this newsletter, we explore key RCM trends that will […]
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medical claims processing

The Power of Business Process Automation in Medical Claims Processing

Medical claims processing has traditionally been a labor-intensive and error-prone task, involving manual data entry, verification, and adjudication. However, the advent of Business Process Automation (BPA) has revolutionized this process, making it more efficient, accurate, and cost-effective. Beyond the Basics: Advanced BPA Features While the core functionality of BPA in medical claims processing involves automating […]
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Automating Claim Processing

Automating Claims Processing in the Healthcare Industry

By utilizing automation, it is feasible to improve the upstream and downstream adjudication process through data validation and routing. The healthcare industry can benefit from automation in almost all administrative functions, but it can significantly improve the auto-adjudication rate. In an ever-changing industry, possessing technical expertise is of utmost importance. The healthcare sector is increasingly […]
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