The average denial rate is up 3% since 2016, hitting 12% of claims denied upon initial submission in 2022,¹ and there are 10 common hurdles that each claim must clear to cross the finish line to reimbursement.
In this eBook, zero in on the two-or-three hurdles that trigger most of the denials for your organization, address the root causes, and watch your denials rate decrease.
¹The Change Healthcare 2022 Revenue Cycle Denials Index
Through the tests and treatments they order, the drugs they prescribe, and the range of services they provide, physicians generate bills to third-party payors.
In this report, AMN Healthcare tracks billing to commercial payors generated by 18 types of physicians, as well as by two types of advanced practice professionals: nurse practitioners (NPs) and certified registered nurse anesthetists (CRNAs).
The data indicates billing by specialty/practice area at the 25th, 50th,and 75th percentiles, as well as projected average collections per specialty based on a presumed average collection rate of 50%.
There is only a brief window of opportunity for providers and health plans to adjust to the rapidly changing market. Those that adapt will remain competitive, but those that don’t risk losing revenue, market share, and relevance.
Download the trends report to explore how health plan leaders can react to new variables with speed and precision, reclaim market relevance and prepare for growth in 6 key areas:
Better Financial Health and Improved Operations: A Roadmap for Providers
Sponsored by
Optum
March 31, 2023
Establishing positive operating margins is crucial to ensuring that health systems have the ability to serve patients and communities, attract and retain a skilled workforce, expand lines of service, and preserve capital. With the right practices, health systems can get back to what matters most — providing quality care in their local communities.
Download our first volume for a detailed review of the following strategies to improve cost optimization:
Travel contracts have proven to be inefficient, inflexible, and fragmented when it comes to staffing shortages in the healthcare industry.
Moving talent around the country is a costly solution, and utilizing travelers has resulted in healthcare facilities paying exorbitant amounts of money for temporary service.
See the solution that provides healthcare facilities access to local, pre-qualified healthcare professionals on-demand, leading to a reduction in labor expenses, improved staffing agility, and the ability to meet the evolving needs of patients.
Prioritizing Investment in the RCM Patient Experience
Sponsored by
Change Healthcare
March 29, 2023
Every healthcare providers financial performance is more contingent than ever upon a seamless, positive patient experience across the entire revenue cycle.
Every dollar wisely invested in an enhanced patient experience results in higher revenue, higher margins, and lower labor costs.
See how making smart investments can remedy the problems that plague the revenue cycle management process.