5 Things to do in Austin During AHIP 2017

Posted by Advent Health Partners on May 30, 2017 11:50:21 AM

It's that time of year again - The 2017 AHIP Institute and Expo kicks off June 7, and we're looking forward to an exciting conference. For all the first-timers making the trip down to Texas, you're in luck - Austin is an incredible city filled with food, fun, and plenty of history. To help you navigate the city, our team has put together a guide to this beautiful city for you and your collegues to use when the conference concludes each day. Here are our picks for the top five must-sees across Austin:

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How Payers Can Utilize the Potential of Unstructured Data

Posted by Advent Health Partners on May 23, 2017 8:05:00 AM

Healthcare providers and payers amass huge troves of patient data every day, year in and year out. Health information technology (HIT) regularly manipulates and transmits the structured data from EMR/EHRs for coding, billing and compensation, but what happens to the rest? Of the monumental quantities of information gathered, upwards of 80 percent exist as unstructured data that begs for review and analysis.

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6 Common Reasons for Hospital Claim Denials

Posted by Advent Health Partners on May 15, 2017 8:35:00 AM

Since 2008, the AMA has taken the lead to bring reform to the medical billing/payment system, according to a 2014 article in Medical Economics. While healthcare organizations may still end up with a running 2 to 5 percent denial rate despite their best efforts, the AMA believes a full 90 percent of denials can be avoided from the outset. While insurers have taken the step to increase claims efficiencies with electronic filing systems, even so, provider errors and claim omissions can't be cured merely with improved communications.

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The Impact of Paperless Billing on the Healthcare Industry

Posted by Advent Health Partners on May 9, 2017 3:04:38 PM

It's clear that paperless billing offers a dramatic improvement to the revenue cycle management for most healthcare organizations. Leading sources, such as HFMA, point out that the increase in patient responsibility for their own healthcare costs means that there needs to be a dramatic shift in the strategy for patient collection. Accounting for a much higher percentage of the organization's yearly revenue, the traditional model for billing individual patients is no longer adequate to offer sustainability.

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How to Stop Medicare Claim Denials Due to Medical Necessity

Posted by Advent Health Partners on May 5, 2017 11:25:32 AM

With the shift towards value-based care coupled with the ICD-10 coding requirements, Medicare claim denials for medical necessity will most likely continue to plague your healthcare revenue cycle. Because medical necessity denials usually stem from inadequate documentation on the claims, the first line of attack to conquer the problem must come from physician documentation. ICD-10 calls for greater specificity than ever before. What may have passed under ICD-9 as proper coding for medical necessity may be insufficient today.

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5 Common Struggles in Healthcare Denial Management

Posted by Advent Health Partners on Apr 26, 2017 10:16:51 AM

Claims management is among the primary RCM hurdles faced by providers and can also pose challenges for payers. Becker's Hospital CFO reports that hospitals lose anywhere from 1% to as much as 4-5% of net revenue because of denial write-offs. While single-digit percentages seem small, they can translate to at least $2 to $3 million in lost revenue annually. Industry experts describe the most common healthcare denial management challenges and how to overcome them.

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5 Ways Providers Can Reduce Denials In Medical Billing

Posted by Advent Health Partners on Apr 21, 2017 8:05:00 AM

Medical claims are an unavoidable part of life for physicians and healthcare providers. Unfortunately, it often seems like claim denials are equally as unavoidable, despite the significantly negative impact they can have on revenue cycle management. In truth, it's not always as difficult to reduce denials in medical billing as you may think. The key lies in understanding why your claims are being denied in the first place. Once you have a solid grasp of the reasons, you can implement changes that will reduce denials going forward.

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Utilization Management Tips From Seasoned Experts

Posted by Advent Health Partners on Apr 18, 2017 10:25:11 AM

While utilization management (UM) is often used interchangeably with utilization review, UM’s role oversees the entire spectrum of a facility’s health services, including procedures as well as use of treatment facilities, ensuring that appropriate care is provided without overusing facilities. Utilization tasks include improving clinical efficiency, managing patient appointment, physician time management as well as analyze data for evidence-based best-practice outcomes.

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What Makes Healthcare Denial Management Services Excel?

Posted by Advent Health Partners on Apr 13, 2017 10:42:25 AM

Denial has such a negative connotation. However, with an effective technique, it's possible to turn a denied claim into a paid claim. It just sometimes requires effort and a change of approach. Here are five strategies to improve your healthcare denial management.

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Can Healthcare Search Capabilities Change Claim Reviews?

Posted by Advent Health Partners on Apr 5, 2017 10:20:26 AM

As technology grows and changes, so does much of the healthcare field. First and foremost, treatments are becoming more advanced. What patients see aren't the only aspects of healthcare that have changed throughout the years. Everything that goes on behind the scenes has evolved due to technology as well.

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