With Election Day behind us and the upcoming Presidential election in 2020, Medicare for All is one hot topic. Wherever you stand politically, I think we can all agree that dealing with Medicare claims can be challenging for a myriad of reasons. Right off the bat, Medicare pays hospitals about 40% less than private insurance for inpatient services and doctors about 30% less for their services. [...]
By definition, consumerism is a social and economic order that encourages the acquisition of goods and services in ever-increasing amounts. In an abstract sense, it is the consideration that the free choice of consumers should strongly direct the choice of what is available and how, which then directs the economic organization of a society.1
The foundation of the revenue cycle management process is patient access. Having a solution in place on the front-end can substantially minimize denials and rework on the back-end of the RCM process.
With so much of healthcare reimbursement administered by contracts, expected net patient service revenue is often a function of the payment terms and conditions found in payer-provider contracts. In order to identify underpayments, wrongful denials and shortfalls, labs need an effective, automated contract management solution as part of their A/R processes.
We recently attended the American Association of Healthcare Administrative Management (AAHAM) Annual Conference in Las Vegas and brought home a wealth of insight from the interesting conversations with customers, potential customers and industry experts.