If You Haven’t Done a Post-PHE AR Reset, It’s Time
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If You Haven’t Done a Post-PHE AR Reset, It’s Time

Think back to what your AR processes looked like before the COVID-19 pandemic – how much do they have in common with the way your medical billing accounts receivable processes look today?

If they’re too similar, I’m sorry to say that your organization is likely falling behind the challenges facing medical providers today. And that’s because things have changed for providers – both internally and externally. Medicaid disenrollment is ramping up, junk health plans are on the chopping block, and CMS is adjusting to a

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Accounts Receivable Management Tips for Healthcare: It’s Time to Standardize Your Metrics for Denial Management
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Accounts Receivable Management Tips for Healthcare: It’s Time to Standardize Your Metrics for Denial Management

Claim denial rates are still a major concern for accounts receivable management in 2022. For example, denial rates for marketplace payers have reached rates as high as 80% according to the Kaiser Family Foundation [1]. But this is only the beginning. COVID has put upward pressure on denial rates for a while now. All of this means that revenue cycle leaders should be taking a fresh look at their denial management practices, not only considering accounts receivable management services but also seeing this as an opportunity to investigate new and more effective approaches to denial management.

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