Claims Processing

Case study: Revised paper statements and new digital patient portal drove a 38% improvement in self-pay collections, a 21% reduction in cost-per-dollar collected and patient satisfaction rose from 28% to more than 50%.

Using embedded codes in blockchain technology, claims process themselves.

What looks like a nightmare for hospital finance executives is also an opportunity to reduce excessive losses typically associated with such claims.

The average expense of repeated medical care because of duplicate records costs a reported average $1,950 per patient for each inpatient stay.

These key performance indicators reveal a lot about whether turning to a third party will prove to be a worthwhile investment and yield an adequate return.

A deposition reveals former medical director never looked at patient medical records, but Aetna says correct guidelines were followed.

While MVA and workers' compensation claims are only a small percentage of a healthcare organization's total claims, they can amount to millions of dollars in annual revenue for many hospitals and secure higher reimbursement rates than commercial insurance.

Revenue cycle collections has as much to do with insurer inconsistencies as with internal operations, report says.

Some would pay as much as $1,000 for genomic sequencing offered through employer health plans.

Hospitals wrote off 90 percent more denials than six years ago, The Advisory Board found, a difference of $3.5 million for a median 350-bed hospital.