Archive for the Week of November 13, 2017

Archive for the Week of November 13, 2017

Welcome to the medical billing blog archive for the week of November 13, 2017.

Here you will find links to every article added to the Outsource Management Group web site during the week of November 13, 2017.

You can browse this week's archives by clicking the "More" button from any of the excerpts below.

7 strategies to prevent claims denials

Claims denials pose a serious issue for hospitals amid an already complicated reimbursement landscape. “Denials are a huge obstacle to timely and complete reimbursement,” said Carmen Sessoms, associate vice president of the revenue cycle management advisory services program at Nashville, Tenn.-based Change Healthcare. In 2016, Change Healthcare managed 1.8 billion transactions with a value of more than $3 trillion. Leveraging this data, analysts determined approximately 9 percent of claims with a value of $262 billion were denied. These denials impacted about 3.3 percent of net patient revenue, translating to an average of $4.9 million per hospital. Denials are not only highly prevalent in the healthcare environment, but also very costly

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