Integrated system requirements and
lack of automation across revenue cycle
to handle high claim volumes
Constantly changing
coding and reporting guidelines
Timely/Accurate
pre-authorizations
Revenue recovery attempts
chasing out of network payer payments
directed to patients
Increase in denials
and appeals
High costs in hiring and
retaining qualified staff
Increasing costs and
lower reimbursements
Price transparency
and no surprise billing
Complexity in payor contracting
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