5 Ways Automation Improves Orthopedic Prior Authorization Workflows
There’s nothing new about prior authorizations or the frustrations they cause in day-to-day operations within most orthopedic practices. They are required for many orthopedic surgical procedures, and for rehabilitation services […]
Radiology Coding Guidelines and Best Practices
The right coding can reduce denials and increase successful claims exponentially. You need a strong understanding of radiology billing guidelines.
Improve DME Reimbursement Through Targeted Automation
Today, more than ever, Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS), impact a significant number of patients in many specialties while also attracting a lot of scrutiny from insurance […]
4 Steps to Automate Patient Access and Maximize Reimbursement
The key to maximizing reimbursement and striving for healthcare payment lifecycle excellence is perfecting the patient access onboarding game. Patients present for treatment with an often limited understanding of their […]
4 Practical Uses for Artificial Intelligence in the Radiology Billing Lifecycle
Thin operating margins are the rule in healthcare today, and the future only promises to continue to tighten. If you have a hospital affiliation, that margin can reduce even further. […]
3 RCM Challenges for Specialty Pharmacy in 2021
It’s estimated that 10,000 Baby Boomers are turning 65 each day, leaving pharmacies to absorb and deal with the challenges of providing prescriptive services for a “graying America” while reimbursement […]
5 Areas in Pain Medicine RCM That Deserve Special Attention
Today, pain medicine is faced with falling revenue as patient behavior and insurance company guidelines chip away at the reimbursement you earn in treating patients. To complicate things further, we […]
How Leveraging AI Improves DME Reimbursement
There has been a lot of attention on the patient experience and consumer-centered initiatives in healthcare recently. Hospitals, outpatient facilities, doctors, and DME providers understand that when they can provide […]
Understanding Insurance Discovery — the AI-driven Process
Every healthcare provider or organizational financial representative has experienced the feeling of defeat when reviewing their uncollectible bad debt. Even with the best business practices, ironclad policies, and strong intake […]
Harnessing AI to Improve the Denials Management Process in Radiology
Taking a comprehensive look at the causes of denied claims, you will find that more than half are the result of front-end patient processing, i.e., inaccurate demographics, missing prior authorizations, […]