Tips & Tricks to Identify Bottlenecks & Manage Reimbursement in Your Business Office

The healthcare financial landscape is constantly in a state of flux— with ICD-10, fee-for-value reimbursement, and shared accountability payment models contributing to the significant change – but one thing remains the same: uncompensated care is at an all-time high. To help providers navigate their financial health, MedeAnalytics Business Office provides insight into revenue and cost savings opportunities, by bringing complex patient accounting data into a unified view.

Comprised of several financial management tools our Revenue Cycle and Business Office solutions offer data analysis on accounts receivable, denials, bad debt, and payer contracts.  Here are the top three tips and tricks you might consider when using the solution:

#1: Think Payer Management, not Payer Monitoring

Mitigate wasted staff time due to delay tactics and confusing information from payers. Intelligent insights allow you to manage and compare behavior on a payer-by-payer basis in order to optimize team efficiency.

#2: Shift Your Focus from Denial Appeals to Denial Prevention

Denial rates have increased in the past two years and appeal success rates for most organizations are falling short. You can get ahead of this by reallocating appeal resources towards prevention and focusing on avoidable errors based on historical results and trends.

#3: Smarter, not Harder, Self-Pay Collections

Due to the larger number of high-deductible ACA plans, the patient is now becoming one of, if not the largest payer.  Streamline self-pay collections efforts by using predictive models to compute a patient’s propensity to pay.

Not using Business Office, but curious to learn more? Check out the Business Office solution page to read about the benefits. 

MedeAnalytics

MedeAnalytics is a leader in healthcare analytics, providing innovative solutions that enable measurable impact for healthcare payers and providers. With the most advanced data orchestration in healthcare, payers and providers count on us to deliver actionable insights that improve financial, operational, and clinical outcomes. To date, we’ve helped uncover millions of dollars in savings annually.

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