Valuable Insights Healthcare Providers Need to Know in 2017

Posted by Advent Health Partners on Jul 25, 2017 4:50:05 PM

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There’s a massive amount of content out there for healthcare providers to gain insight into pertinent topics. To ease the headache of searching, we have compiled a list of resources that providers have found most valuable and relevant in 2017.

7 Ways to Prevent Claim Denials Before They Happen

As reported in a 2016 article in Becker's Hospital CFO Report, payers deny or delayupwards of 20 percent of all submitted claims resulting in lost or reduced revenue. It is key to focus resources on prevention rather than correction on the back end. We describe 7 of the most important to ways prevent claim denials on the front end.

Five Ways to Better Prevent Necessity Denials

Budgeting and medical costs have become increasingly important for today's patient and they are now paying a much higher percentage of their medical bills due to rising deductibles. This has created a dynamic where patient payments are essential to the financial health of your hospital. If a medical necessity denial is placed on a hospital stay, it throws very large kink in the process and can prevent the patient from paying. Here is an outline of five ways your hospital can take to better prevent necessity denials.

 

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5 Common Struggles in Healthcare Denial Management

Claims management is among the primary RCM hurdles faced by providers and 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. From coding inconsistencies to authorization issues, we go over the most common healthcare denial management challenges and how to overcome them.

Defining Machine Learning and Its Role Within Hospital

The problem hospitals face isn't in finding ways to gather the data, but in knowing how to best organize and utilize what you have to improve results. The solution to this problem is machine learning. Hospitals can utilize the data they have and reach better predictions on future admissions, allowing them to allocate resources in a more productive manner and better meet patient needs. We discuss ways to use machine learning to better improve financial performance and patient satisfaction.


We will continue to share our knowledge, technology, and our best practices with the healthcare community to accelerate cost avoidance, improve productivity, and drive maximum financial returns for providers. 

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Topics: Healthcare Providers, Claim Denials, Medical Necessity