denial management
publication date
CFO
Payers Are Playing Hardball—And Hospital CFOs Are Paying the Price
New data exposes aggressive tactics by payers for Medicare Advantage denials.
Revenue Cycle
Providers Need a More Focused Denials Management Strategy
A new survey finds that three of every four RCM executives are struggling to address a surge in denials. Revenue...
Revenue Cycle
RCM Admin Tasks Driving Up Costs. Payer Tech to Blame
Payer tech is putting administrative pressure on providers.
CFO
CFOs Grapple with Physician Shortages and Hardball Payer Tactics
The HealthLeaders CFO Exchange brought on a fiery discussion on payers and physician shortages. How are CFOs coping?
Revenue Cycle
HL Shorts: Rev Cycle Leader on Tackling Eligibility and Authorization
Payers and difficulties with eligibility and prior authorizations keep patients from getting the care they need.
Revenue Cycle
HL Shorts: How to Manage Increasing Denials
Health systems are struggling with a significant increase in denials from insurers.
Payer
Providers to Payers: Show Us The Money
A provider study highlights 2024 revenue cycle challenges and opportunities and payers are in the cross hairs.
Payer
Infographic: 5 Prior Authorization Updates For Payers
Many health systems and patients have struggled with prior authorization procedures.
Payer
A Doctor at Cigna Said Her Bosses Pressured Her to Review Patients' Cases Too Quickly. Cigna Threatened to Fire Her
Cigna tracks every minute that its staff doctors spend deciding whether to pay for healthcare. Dr. Debby Day said her...
Payer
Humana Expands Prior Auth. Partnership With Cohere Health
The platform is giving physicians faith in quick prior authorization turnaround.
Revenue Cycle
Round Up: How Cost Containment, Denials, and Cybersecurity is Defining Rev Cycle
There are three prevalent issues that defined the first quarter that leaders should know.
Revenue Cycle
Private Payers Retain Profits by Denying, Delaying Claims: What Rev Cycle Leaders Can Do About It
While health systems are doing their best to maintain financial stability, payers are doing their best to protect their profitability.