MedClaims International Blog

Clean Claims: The Dirty Little Secret to Efficient Revenue Cycle Management

Posted by Brady Dolan on Feb 13, 2018 11:46:20 AM
Healthcare organizations are continually feeling the pinch when it comes to maintaining company revenue in the current economic environment. With major cutbacks being a last resort option, most are ...
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Topics: clean claims, best practices, healthcare revenue cycle

Private Payer A/R, Denials Performance Troubles Hospital Revenue

Posted by Brady Dolan on Jan 12, 2018 9:00:00 AM
A recent analysis conducted by Crowe Horwath has found glaring disparities among five managed care insurers with respect to the number of days a claim is in accounts receivable - a factor that could ...
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Topics: revenue cycle, healthcare, claim denials

How Hospital CFOs Can Prevent Complex Claim Denials

Posted by Brady Dolan on Nov 10, 2017 12:47:02 PM
The roles of CFOs who manage the financial department of a hospital or healthcare system have become significantly more complex in recent years. This is due to a combination of factors, such as ...
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Topics: denied claims, outsourcing denied claims, CFO, Complex Claims

The Right Approach to Denials Management

Posted by Brady Dolan on Oct 27, 2017 1:39:18 PM
When it comes to the financial well being of healthcare providers, denied claims remain one of the most costly problems in the revenue cycle. Denials are estimated to cost providers 3% of their total ...
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Topics: reduce denial incidence, Denial Causes, claim denials

On the Horizon: Medical Technology Today and What's to Come

Posted by Brady Dolan on Sep 15, 2017 12:42:04 PM
Throughout much of modern-day medical history, technology has favored big-ticket items that favor physician preferences. The more lucrative the proposed medical device, the more likely it was to be ...
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Topics: HFMA, investors, medical technologies

How Big Data Improves The Revenue Cycle

Posted by Brady Dolan on Jul 28, 2017 1:00:00 PM
Big data is driving change in all sectors of the economy, but health care systems may have the greatest potential for change when it comes to improving the revenue cycle. Many health organizations ...
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Topics: healthcare, modern healthcare, Big Data, claim denials

Denied Claims - How To Win The Battle

Posted by Brady Dolan on Jul 6, 2017 4:47:43 PM
One of the biggest challenges for healthcare providers in an increasingly complex and competitive market is denied claims. According to a healthcare analytic expert Jason Williams, denied claims ...
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Topics: denied claims, outsourcing denied claims, ICD-10

How Healthcare IT Trends Are Evolving.

Posted by Brady Dolan on Jun 23, 2017 7:46:15 AM
The current healthcare system in the United States isn't completely clear, but one thing seems for certain: the industry will continue to innovative its information technology. Big changes were ...
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Topics: healthcare, IT Trends, 2017

Putting the Patient First

Posted by Brady Dolan on Jun 9, 2017 2:00:00 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: patient experience, revenue cycle

How is ICD - Coding Affecting Your Organization?

Posted by Brady Dolan on Apr 24, 2017 9:34:09 AM
Organizations will need to track how their medical claims are doing if they want to gain insight on how ICD - 10 coding is affecting their organization. Billing systems will need to track:
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Topics: Denials Management, ICD-10, EHR Coding