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Claim Denial Management: What Is It? How Does It Work? The rate at which medical claims get denied by insurers is pretty concerning. According to a recent analysis, the average claim denial rate increased by 23% compared to four years ago. For medical practices, … Continued

Five ways to improve clinical documentation and bridge the gap between coders and physicians To facilitate the accurate documentation of patient encounters, many organizations have implemented clinical documentation integrity (CDI) programs. The Association of Clinical Documentation Integrity Specialists (ACDIS) offer … Continued

What is Denials Management in Healthcare? For healthcare organizations, effective care is based on the unique characteristics of the patient.  When a provider submits a bill (or ‘claim’) for payment, it is also subject to rather unique characteristics that influence … Continued

Hospital Utilization Management Can Reduce Denials, Improve Care Utilization management in healthcare is commonly thought of as a strategy that payers employ to control resource use within physician offices and hospitals to keep healthcare costs down. However, hospital utilization management … Continued

What Is Clinical Documentation Improvement? (Plus Benefits) Hospitals and physicians need accurate information systems to provide the best care and follow-up for their patients. Clinical documentation improvement ( CDI) is a process for improving documentation and coding for claims reimbursement … Continued

Denial management for hospitals: Win by engaging every revenue cycle department We’ll explore how various departments impact revenue and explain how to tailor your denial management approach for different roles in your organization. What is denial management in healthcare? Denial … Continued