States using the ED Triage payment methodology by Medicaid and Managed Medicaid payers often have hidden and challenging reimbursement opportunities. THE CHALLENGE: High volume, low dollar accounts, which staff does not have the bandwidth to pursue or sees as low priority. Confusing or absent denial codes shown on EOB do not indicate the reason for
A recent study found that hospitals lose around $262 billion annually on claims that are denied by insurance Providers. In fact, 9% of all claims submitted are initially denied, and the cost to contest these claims averages around $118 per claim. Denials can occur for a multitude of reasons, which makes pinpointing the exact reason
The word is out, and it’s no surprise. When it comes to selecting health insurance plans, consumers prioritize price more than any other factor, including brand or size of network. According to a recent study by Leavitt Partners, consumers searching for individual plans on the Healthcare Marketplace from 2014-2016 were more likely to cite cost
Whether we repeal the Affordable Care Act or elect some form of the American Health Care Act, one thing remains consistent: hospitals will need to focus on patient financial responsibility. High deductible plans are still on the rise, making efforts to collect upfront a necessity if hospitals want to curtail bad debt write-offs. Below are
Outside of the incredible clinical work that hospitals do on a daily basis, there’s an evolving financial sophistication that few are aware of. What many may not know is that today’s most forward thinking hospitals are embracing a calibre of financial analysis and modeling typically reserved for the nation’s most successful financial firms. Those hospitals who choose
JDA eHealth System is proud to announce the launch of its new, updated website at www.parathon.com. The site features streamlined products, as well as contact information for the company. “The new www.parathon.com is a great way for our client base and potential clients to see what JDA eHealth System is about!” said Corby Bell, COO.