“The lift on our end was minimal and the benefit to cash was immediate.”Matthew Stojakovich, Executive Director Revenue Cycle Shared Services, University of Miami Health System
For years, healthcare revenue cycle strategies have focused heavily on front end accuracy. Eligibility checks, prior authorizations, and clean claim submission remain essential, but they no longer tell the full revenue s
As healthcare organizations look towards the second half of 2026, revenue cycle performance is being defined less by denial volume and more by payment accuracy and revenue integrity. While denial prevention remains impor
In many hospitals, once an account reaches a zero balance or is written off, the revenue opportunity is assumed to be gone. Yet across the industry, finance leaders are starting to challenge that assumption.
How strong is your revenue cycle team? If you’re struggling with getting commercial health insurance companies to pay their claims on time, then you might want to take a good…
Is your facility haunted by unpaid claims? Do you have a filing system for those claims that have gone through the state level appeals process, only to end up on…
Hospitals and clinics tend to operate on thin financial margins. They rely on commercial health insurance companies to pay their bills on time in order to keep the lights on…
Medical coding, the action of writing down what the doctor or surgeon says and does, plays a large role in medical billing. If the coder is not accurate, then the…
It seems like surgical centers end up in the news just about every day for a number of reasons. Lately, this has been due to their expansion. Surgical centers –…
Claim denials seem like a major part of hospital billing. But what if they can be prevented? In order to avoid the commercial health insurance claims cycle, which seems to…
Healthcare experts have come out with a number of predictions for the New Year that involve things like revenue cycle management and claim denials, among other things. In some cases,…
Many hospitals and group practices have a (CBO) central billing office. This is the place where all of the commercial health insurance claims take place. In order to make this…
Commercial health insurance underpayments are problematic. They occur when the health insurance company decides – for one reason or another – that it doesn’t need to pay your hospital or…
The experts are predicting a rise in commercial health insurance claim denials. These denials end up costing hospitals and clinics quite a bit of money, as they must pay their…
Surgical centers are growing in number. These clinics, also known as ambulatory surgical centers, specialize in outpatient surgeries where the patient goes home after a short (usually a few hour…
Commercial insurance companies regularly change their claims processes. This complicates the billing process and can lead to medical appeals. Since clinics and hospitals only receive three of these appeals on…
According to recent statistics, commercial health insurance underpayments are on the rise. As of 2012, the payment accuracy rate for these insurance companies hovered around 62.08 percent. What does this…
Hospitals receive claim denials daily. These denials are from commercial health insurance companies that have been billed for patient services. Did you know that the average amount of claim denials…
Hospital billing systems are complicated. There’s a reason why billing employees go through plenty of training. Between the various doctor fees, medication costs, room charges, and procedure costs, there’s a…
Affinity Medical Center in Massillon, Ohio shut down in February 2018, citing “declining revenues” as one of their main reasons. In short, they had so much debt that they couldn’t…