Tag: Healthcare Challenges

Impacts of Claim Denials on Revenue Cycle

How Claim Denials and Payer Audits Impacts Healthcare Revenue Cycle

Denial rates, notably within Medicare Advantage, are on the rise, impacting both hospital revenue cycles and patient care, remarked the executive director of a Minnesota-based large multispecialty health care organization focused on Revenue Cycle management. Despite the organization reporting a favorable margin this year, it falls short in achieving profits comparable to those of insurers, […]
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The Future of Healthcare: 4 Tech Trends Shaping 2024

The traditional and conservative realm of healthcare has experienced significant and swift technological upheaval in the last ten years. The surge of generative AI and Large Language Models (LLMs) has outpaced any previous innovation wave, revolutionizing the landscape. While lauded as potential remedies for numerous healthcare challenges, these innovations confront the digital health industry with […]
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Why Revenue Centricity Should be Important to Coders

Revenue is not a goal; it is an outcome. Healthcare providers, hospitals and other services, have struggled for the last decade to maintain sustainable revenue for survival. This has been exacerbated by the pandemic changing borderline net revenue to worsening losses. Many have instituted new practices to acquire more revenue not realizing increased revenue is […]
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