denial management
August 4, 2017

Medical Claim Denials Cost Hospitals $262 Billion Annually

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A recent analysis by Change Healthcare revealed a shocking statistic about claims denials and their financial impact on healthcare practices. The finding revealed that out of roughly $3 trillion in medical claims submitted by hospitals in the US last year, approximately 9% of charges were initially denied. This translated into an accumulated loss of about $262 billion per annum sparking huge cash-flow issues and recovery costs to hospitals. A deeper analysis of the figures further revealed th

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July 28, 2017

Value-based Care Transition in the US: The Benefits, Challenges and Solution

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America’s healthcare system can be best explained in Walter Cronkite words: “America’s health-care system is neither healthy, caring, nor a system.” And after years of struggle with access, quality and other population health issues, we finally have a solution to this problem in the form of value-based care. But what does this transition mean to hospitals and other healthcare practices? How does value-based care affect their business? And how can they stay afloat in current times? Le

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EHR transition
July 21, 2017

How to Ensure Smoot EHR transition?

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Recently a doctor in California had to treat an elderly patient who was twitching uncontrollably. The doctor assumed that the patient was suffering from epileptic seizure and was about to send him to the neurologist, but soon the twitching stopped and minutes later the old man seemed to be fine. Unsure whether to send the man to a neurologist, as he would do in case of an epileptic seizure, or to intensive care, the doctor contacted his senior for assistance. The senior took time to go through t

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