MedClaims International Blog

The Secret to a Healthy Revenue Cycle

Posted by Tessa Tinley on Sep 27, 2018 1:30:47 PM
Managing accounts receivable (A/R) is an important challenge faced by all healthcare providers. Fortunately, there are steps a clinic can take to collect outstanding balances faster and maximizing ...
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Topics: healthcare revenue cycle, revenue cycle, claim denials

How to Keep Up With Payer Policy Changes

Posted by Tessa Tinley on Sep 10, 2018 9:21:28 AM
For healthcare providers in the 21st century, keeping up with constant payer changes can feel overwhelming. In August alone, Anthem Blue Cross and Blue Shield announced authorization requirement ...
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Topics: Payer Policy, best practices

The 5 Denial Types That Could Be Costing You Money

Posted by Tessa Tinley on Aug 16, 2018 4:26:04 PM
Denial rework costs providers roughly $118 per claim. An estimated $262 billion, or 9% of the estimated $3 trillion in claims submitted by hospitals last year were initially denied, according to a ...
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Topics: claim denials, denials prevention, healthcare revenue cycle

The Increasing Need for Claims Management Solutions

Posted by Tessa Tinley on Jul 31, 2018 1:20:12 PM
According to research by MarketsandMarkets, the global healthcare claims management market is expected to reach nearly $14 billion by 2023. At the start of 2018, this market was estimated to have a ...
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Topics: healthcare revenue cycle

5 Problems Holding Back Your Billing Department

Posted by Tessa Tinley on Jul 17, 2018 11:49:07 AM
Everyone at doctor's offices, hospitals, and other healthcare facilities throughout the country work hard to take care of patients, but cash flow is a real problem. This is a common occurrence with ...
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Topics: Billing, best practices

Front End Prevention vs. Back End Fixes - How Money Invested up Front Can Save You in the Long Run

Posted by Tessa Tinley on Jul 3, 2018 1:41:50 PM
Many providers consider claims denials just another part of business, but recent research shows that taking a prevention-focused approach to denials management can significantly reduce the number of ...
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Topics: denials prevention, claim denials

Why Denials Prevention Should Have Your Attention

Posted by Tessa Tinley on Jun 19, 2018 12:09:14 PM
According to a American Academy of Family Physicians (AAFP), the average claim denial rate across the industry is between 5 and 10%, ultimately costing healthcare organizations roughly 3% of their ...
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Topics: Denials Management, denials prevention

Value Based Care - Why Physicians Are Speaking Up

Posted by Tessa Tinley on Jun 5, 2018 11:32:56 AM
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Topics: Value Based Care, health systems

Outsourcing Revenue Management - Will the Trend Continue?

Posted by Tessa Tinley on May 22, 2018 10:43:50 AM
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Topics: healthcare revenue cycle, outsourcing denied claims

Automated Patient Payments - Putting the Patient First

Posted by Tessa Tinley on May 8, 2018 1:25:39 PM
The proportion of practice revenue that comes from patient payments is increasingly staggering. This isn’t going to be slowing down any time soon.  Armed with this knowledge physicians should be ...
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Topics: best practices, patient experience