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 Tip: Train staff to capture accurate patient demographics—avoid typos and outdated insurance details.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:...

Denied claims are a persistent thorn in the side of healthcare organizations. Across the entire revenue cycle management (RCM) spectrum, various opportunities exist to prevent, resolve, or lessen these issues....