Hospitals’ denial management operations face an evolving payer market as high-deductible health plans and narrow provider-payer networks multiply. Due to these trends, hospitals are increasingly ...

The volume of commercial payer claim denials continues to rise and the appeals process has slowed, according to a new survey from HFMA. Claim denial woes continue to plague revenue cycle leaders.

McKesson experts David Dyke, vice president of product management and business development; Kamron Lachney, vice president of acute-care services; and Tammie Phillips, RN, vice president, business ...

What is your denials management process costing you? Between 2022 and 2023, the cost per management of a denial went up from $43.84 per denial (totaling $19.7 billion in 2022) to $57.23 per denial ...

RCM leaders turn to strategic infrastructure, tech to stem the tide. HealthLeaders christened 2023 the year of managing denials, but a spate of recent reports suggests revenue cycle leaders could be ...

Provider claims management can no longer exist as a silo. With the rapid transformation from fee-for-service to value-based models, denial rates remain high despite advances in technology and ...

COLUMBUS, Ga., Feb. 5, 2025 /PRNewswire/ -- Aspirion, the healthcare technology revenue cycle management ("RCM") leader for denials, payment variance, and complex claims, has been named 2025 Best in ...

In 2011, the U.S. Government Accountability Office found that as many as 40 percent of all healthcare insurance claims made in one state were denied by commercial payers. While subsequent studies by ...

Clean claims, fewer denials, faster reimbursement for healthcare providers through the integration of eligibility validation and claims automation. Aptarro, the leader behind the intelligent RevCycle ...

Claims denial-management programs can significantly reduce the number of denied claims for practices, according to an American Medical News report. Claims denial-management systems are systems set up ...