Maximizing revenue with a resolution-first RCM strategy

Accounts Receivable (AR), AR Days, AR management, Denial Management, Revenue Cycle Management

The Art of Appeal: Maximizing Revenue with Appeals-First RCM

An appeals-first mindset—rather than defaulting to write-offs—can be your best weapon in healthcare RCM to reclaim revenue that rightfully belongs to you, while wielding your denial management skills with learnings from each case.

Accounts Receivable (AR), AR Days, AR management, Denial Management, Revenue Cycle Management

Why Low AR Days Don’t Always Mean Good Things for Your RCM

Low accounts receivable (AR) days may feel like a coveted trophy—a sign your team is crushing it with lightning-fast collections—but the metric can be pretty misleading in healthcare revenue cycle management (RCM).

Here’s the kicker. Without the right context, low AR days may not always mean real revenue cycle success. In fact, the metric can mask issues that could be silently impacting your bottom line.

Accounts Receivable (AR), Denial Management, Prior Authorization, Revenue Cycle Management

Unlocking RCM Wins: Turning Setbacks into Success

Stuck in this everyday grind amid challenges like shifting payer behavior, changing regulations, and growing staffing shortages, providers are now making a conscious effort to re-innovate their RCM strategy to keep the ball rolling

Accounts Receivable (AR)

AR Management in Healthcare: Meaning, Challenges, Strategies, and More

Delayed revenue collections have now become common in healthcare operations, and we cannot overlook the significant cash flow problems they cause. This can be due

Accounts Receivable (AR)

Claim Denial Triggers Healthcare Organizations Should Not Ignore

Failure to submit the claims within the payers’ timeframe can also result in denials. Outsourcing claim and denial management can prove a game changer in such scenarios for providers lacking the time and resources, ensuring accurate charge capture and timely claim submission.

Accounts Receivable (AR)

Streamlining Accounts Receivable (AR): How Medical Billing and Coding Companies Boost Efficiency

Reducing accounts receivable days is essential for the success of any medical practice. AR days measure the average time it takes for a claim to be paid, based on the average daily charge volume.

Accounts Receivable (AR)

How to Detect and Prevent Medical Billing Errors in Healthcare RCM?

In today’s competitive healthcare environment, maintaining accurate and efficient billing practices is crucial for a hospital’s financial health.

Accounts Receivable (AR)

How To Streamline Your RCM Process With AI?

Effective revenue cycle management (RCM) is vital in healthcare financing as it oversees the entire patient journey from scheduling to final payment and any mistakes in this process can significantly impact healthcare providers’ financial sustainability.

Accounts Receivable (AR)

Top 5 Denial Management Strategies to Boost Your Hospital’s Revenue

Maximizing revenue is crucial for hospitals to maintain quality patient care and invest in new technologies, especially in today’s competitive healthcare environment. Denials on insurance claims can significantly impact your hospital’s financial health.