Insurance Discovery, Insurance Eligibility, Prior Authorizations, Revenue Cycle Management
On January 7, 2025, under the Biden administration, the Consumer Financial Protection Bureau (“CFPB”) published a final rule prohibiting consumer reporting agencies from including individuals’ medical debt on consumer credit reports. While the medical debt rule...
Insurance Discovery, Prior Authorizations, Revenue Cycle Management, Uncategorized
Did you know cash on hand at hospitals is at a 10-year low that puts them at financial risk? Low reserves mean even minor disruptions can impact operations and delay critical patient care investments. With up to 25% of self-pay accounts holding undiscovered billable...
Insurance Discovery, Insurance Eligibility, Prior Authorizations, Revenue Cycle Management
Healthcare organizations are under increasing financial strain due to rising patient responsibility, complex billing processes, and claim denials. U.S. hospitals collectively write off $41 billion in uncompensated care annually, and cash on hand has reached its lowest...
Insurance Discovery, Insurance Eligibility, Revenue Cycle Management
Coordination of benefits (COB) errors can be a major pain point for providers, leading to costly denials and significant delays in payment. When multiple insurance plans are involved, determining which insurer is responsible for payment first is crucial. Failing to...
Insurance Discovery, Insurance Eligibility, Revenue Cycle Management
Did you know that eligibility errors are the #1 reason for claim denials in healthcare, and over 60% of these denials go unappealed? It’s time to learn how you could be leaving money on the table. Discover the 5 Most Common Eligibility Denial Pitfalls and get expert...
Insurance Discovery, Revenue Cycle Management
In today’s dynamic healthcare landscape, efficient revenue cycle management is essential for maintaining financial stability and ensuring quality patient care. In fact, it’s what sustains small practices and how large health systems preserve healthy profit...