The healthcare industry operates under a unique framework. Unlike traditional businesses where customers pay directly for a product or service, healthcare providers navigate a complex system involving multiple players, including payers, claims management, and reimbursements. To Improve Revenue Cycle Management, healthcare providers must understand this intricate system and implement efficient strategies to optimize their revenue […]
Managing denied claims remains one of the most challenging challenges for healthcare providers and Revenue Cycle Management (RCM) professionals as healthcare reimbursement models continue to evolve. As well as delaying payments, claim denials contribute to administrative burdens, reduced cash flow, and significant revenue losses. Medicare denial rates are approximately 10%, according to the American Medical […]