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The benefits of clinical documentation improvement Health organizations around the world understand that keeping complex data organized is essential to providing a positive patient experience. In order for patients to have a successful health experience, clinical documentation must be accurately reported. If a patient’s information is not recorded and detailed well, errors will surface and […]

Claim Denial Management: What Is It? How Does It Work? The rate at which medical claims get denied by insurers is pretty concerning. According to a recent analysis, the average claim denial rate increased by 23% compared to four years ago. For medical practices, this means unpaid services, resulting in lost or delayed revenues, hurting the financial health tremendously.  

Hospital Utilization Management Can Reduce Denials, Improve Care Utilization management in healthcare is commonly thought of as a strategy that payers employ to control resource use within physician offices and hospitals to keep healthcare costs down. However, hospital utilization management programs are also an essential part of a provider organization’s revenue cycle, helping to prevent

8 Steps to Effective Denial Management in Healthcare Denial management is a crucial process for healthcare providers to ensure that they get accurately reimbursed for their claims and maximize their revenue. Ineffective denial management can lead to denied claims, delayed payments, and a loss of revenue. With the increasing complexity of healthcare billing and reimbursement,