MedClaims International Blog

How Value Based Strategies Can Help to Achieve Physician Alignment

Posted by Tessa Tinley on Mar 5, 2019 2:40:00 PM
For more than a decade, physicians and hospitals throughout the United States have been pushed to align their objectives. Traditionally, this goal has been approached from a financial perspective, ...
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Topics: Healthcare, healthcare revenue cycle

5 Strategies for Improving Revenue Cycle Performance

Posted by Tessa Tinley on Feb 8, 2019 9:02:00 AM
Constant changes in healthcare regulations, payer policies, and patient expectations present a real challenge to healthcare providers who want optimal revenue cycle performance. Generating revenue in ...
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Topics: Revenue Cycle, healthcare revenue cycle, patient experience

Price Transparency Rule and What it Means for Your Healthcare Organization

Posted by Tessa Tinley on Jan 18, 2019 8:56:00 AM
Price transparency consistently ranks as one of the top factors for consumers satisfaction, yet the healthcare industry continues to have some of the most obscure pricing structures in the American ...
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Topics: Government Regulations

Obamacare Ruling and Denied Claims - What You Need to Know

Posted by Tessa Tinley on Jan 2, 2019 12:22:00 PM
A ruling by a federal judge in Texas has caused widespread debate throughout the country regarding the future of the Affordable Care Act. United States District Judge Reed O'Connor ruled that the ACA ...
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Topics: denied claims, ACA

Artificial Intelligence in Healthcare - What it Could Mean for Denied Claims

Posted by Tessa Tinley on Dec 6, 2018 2:05:00 PM
Developments in artificial intelligence have made big waves in the medical world during the last decade. Supercomputers like IBM's Watson can analyze thousands of clinical studies at a time to ...
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Topics: modern healthcare, Artificial Intelligence

The Key to Improving Patient Satisfaction

Posted by Tessa Tinley on Oct 31, 2018 2:13:00 PM
When hospitals and other healthcare providers are successful financially, it's because they make patient satisfaction one of their top priorities. Evidence from surveys shows this fact consistently, ...
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Topics: Billing, Healthcare Finance

Blockchain in Healthcare - The Next Big Thing?

Posted by Tessa Tinley on Oct 17, 2018 2:16:00 PM
The use of blockchain technology is exploding in nearly every sector of the economy - from online gambling to the exchange of fine pieces of art. According to some industry experts, healthcare may be ...
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Topics: modern healthcare, Blockchain

The Secret to a Healthy Revenue Cycle

Posted by Tessa Tinley on Sep 27, 2018 1:39:00 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: Revenue Cycle, healthcare revenue cycle, claim denials

How to Keep Up With Payer Policy Changes

Posted by Tessa Tinley on Sep 10, 2018 9:33:00 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: Best Practices, Payer Policy

The 5 Denial Types That Could Be Costing You Money

Posted by Tessa Tinley on Aug 16, 2018 4:33:00 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: healthcare revenue cycle, claim denials, denials prevention