Revenue Cycle Management

Clarissa Riggins, chief product officer at Experian Health, joins the show to talk why denied claims are increasing and how AI can help practices prevent revenue loss.

Healthcare costs soar as hospitals charge more for identical services than independent practices. Site neutral payment reform promises savings and better access to care.

Health care practices enhance revenue by collaborating with payers for digital out-of-pocket payments, improving cash flow and patient engagement.

Medicare's new APCM codes empower primary care providers to bill for complex patient management without time constraints, enhancing chronic care delivery.

Step therapy protocols not only delays necessary treatment but can lead to adverse reactions that ultimately increase rather than lower health care costs.

Given that so much of the high costs associated with running a healthcare business remains outside of the organization’s control, financial leaders will have to consider how they can impact the one area that is in their control in 2025: reducing administrative waste.

Behind today's high denial rates lies a fundamental tension – coding requirements grow increasingly complex as coding resources lessen.

Medical professionals use advanced technology to deliver optimal patient care on the frontline, but data shows that many business offices in the healthcare industry are hesitant to do the same.

Specialty providers can take steps now to succeed with MIPS and VBC while prioritizing caring for their patients.

With the right strategies, independent practices can ensure they are financially sustainable while continuing to provide high-quality care to their patients.

To help practices prepare for their value-based care transition, here are three top considerations for success.

Generation Z is driving changes to patient engagement and payment.

Navigating payer denials requires the most expertise to handle within revenue cycle management

Cash-based health care is a win-win for vulnerable groups and primary care providers.

Outsourcing allows doctors to focus on patients instead of billing

How net revenue forecasting can give health leaders financial x-ray vision

Use these to develop a strategic approach to profitably manage and effectively resolve low-dollar accounts receivables.

A digital payment strategy benefits the patient and streamlines operations

Recover revenue by utilizing proactive measures and technological solutions to navigate this difficult terrain.

Given the currently released policies and where we see the market going, we see three major stances insurance companies can and will take.

Outsourcing the billing process has become popular but it isn’t the right choice for every practice.

Inefficient billing processes can result in frequent delays in claim submission, issue resolution and revenue capture.

Practices need to have better analytics and more efficient workflows from the start to the end of the Revenue Cycle Management (RCM) pipeline.

Reframing collections as a continual process can minimize bad debt.

They cost you a lot more than you think.