This week’s 5 must-reads for hospital RCM leaders

Here are five articles recently published by Becker’s Hospital Review on revenue cycle management talent, insights into prioritizing denied insurance claims and more.

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1. RCM tip of the day: Use clinical merit to prioritize denied claims
As hospitals aim for an efficient claim denials management process, they should prioritize appeals based on the clinical merit of individual cases, advises Tara Dwyer, vice president of audit operations at Xsolis.

2. Midwest primary care providers donate money to erase $1.4M in medical debt
The Midwest Direct Primary Care Alliance, a group of primary care clinics in Missouri and Kansas, donated more than $10,000 to buy $1.4 million in unpaid medical bills.

3. How financial distress forecasting can help hospitals avoid closure
Hospitals are increasingly experiencing financial hardships due to factors such as changing reimbursement models, lower patient volumes and more competition in some markets.

4. 10 hospitals seeking RCM talent
Here are 10 hospitals and health systems that recently posted job listings seeking revenue cycle management expertise.

5. Alaska asks providers to return $15M in Medicaid overpayments
Alaska officials are asking medical providers to repay millions of dollars in Medicaid overpayments resulting from a billing error, according to a KTVA report.

 

More articles on healthcare finance:

Medicare office visit payments standardized in new proposal
Pennsylvania long-term care facility to shutter, lay off 122 employees

 

At the Becker's 11th Annual IT + Revenue Cycle Conference: The Future of AI & Digital Health, taking place September 14–17 in Chicago, healthcare executives and digital leaders from across the country will come together to explore how AI, interoperability, cybersecurity, and revenue cycle innovation are transforming care delivery, strengthening financial performance, and driving the next era of digital health. Apply for complimentary registration now.

Register to Attend Webinar

Reconsider What’s Possible: Enterprise RCM and the Pro-Fee Practice

Tuesday, July 28
11:00 AM - 12:00 PM CDT

Presenters: Garett Kreitz, Med-MetrixJohn Stefanowicz, Med-Metrix

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