MedClaims International Blog

Price Transparency Rule and What it Means for Your Healthcare Organization

Posted by Tessa Tinley on Jan 18, 2019 8:52:39 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 12:27:16 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: ACA, denied claims

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

Posted by Tessa Tinley on Dec 6, 2018 2:51:34 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: Artificial Intelligence, modern healthcare

The Key to Improving Patient Satisfaction

Posted by Tessa Tinley on Oct 31, 2018 2:13:32 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: Healthcare Finance, Billing

Blockchain in Healthcare - The Next Big Thing?

Posted by Tessa Tinley on Oct 17, 2018 2:08:43 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: Blockchain, modern healthcare

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