Sessions

27. Integrated Data Platform Helps Apprehend Nearly 150 Denials, and Recovers $3M

Track: Financial Transformation (Increased Revenue, Reduced Costs)
Level: Beginner

Medical claims denials occur for myriad reasons – from a lack of supporting documentation to patient ineligibility under the billed insurance plan. Another significant factor is the lack of integrated data, which makes root cause analysis of denials extremely difficult and time-consuming on already heavily taxed finance resources. Denials result in delayed collections, increased administrative burden, and millions in lost revenue annually.

Join Albany Medical Center’s ReClaim Squad to learn how they are using their data platform and analytic applications to quickly identify and rectify denial issues, ensuring maximum reimbursement. The ReClaim Squad has managed 149 claims denial cases and recovered nearly $3M in revenue in just one year.

Participants will learn:

  • What comprises the visit to claims payment cycle.
  •  How to integrate data and analytics into denials manage management projects.
  •  How integrating data into the workflow can improve revenue cycle performance.

Watch HAS 21 Virtual On-Demand.

Replay HAS 21 Virtual

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