In-House vs Outsourced Denials Management: Finding the Best Path Denied claims create more than delayed payments. They add extra administrative work, increase strain on staff, and, if unresolved, can lead...

Denied claims remain a significant hurdle in healthcare revenue cycle management (RCM). For hospitals, health systems, labs, and ambulatory surgery centers (ASCs), each denied claim means more than just delayed…

Let’s follow a claim that never made it to reimbursement. It started like every other standard service, expected coverage, nothing unusually complex. But somewhere between patient intake and payer response,…

AI is playing a growing role in healthcare, yet some organizations remain hesitant to fully integrate it into their revenue cycle management (RCM) strategies as concerns around compliance, accuracy, and...

The Front DeskPrevent Issues Before They Begin Focus: Automate insurance verification, eligibility checks, and prior authorizations. Tip: Train staff to capture accurate patient demographics—avoid typos and outdated insurance details. Action:...