Revenue Cycle Management
Q&A with Availity's Lillian Phelps on the challenges of claim attachments, denial management and prior authorizations.
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Because of COVID-19's push to a remote workforce, hospitals are competing for billers and coders not just locally, but nationally.
Although RAND said price regulation is the most effective way to reduce spending, the researchers said this method has the most opposition.
Prior authorization continues to be the area with the lowest adoption rate, with only 21% of medical plans having fully electronic transactions.
Some organizations use up to four vendors, each of whom handles different components of the revenue cycle process.
The AHA data doesn't yet include figures from the COVID-19 pandemic that consumed much of 2020.
Getting paid has become imperative during a time when both hospitals and patients may be cash-strapped.
Northwell reportedly sued thousands of patients last year for unpaid medical bills averaging $1,700.
"A big contributing factor to this success was the creation of auto-text templates for common procedures, all pre-verified by coders to meet billing requirements," said the health system's CMIO.