Zelis的动态

Revenue leakage remains a significant challenge in the healthcare sector. From unprocessed claims to coding errors, the financial ramifications are profound. Using trusted tools and proven strategies enables healthcare institutions to better assure revenue and reduce losses, thereby ensuring sustainability and better patient care. #RiskManagement #Healthcare #RevenueAssurance #BusinessAssurance #Effy #EffyBusiness

one of those tools are Business Intelligence tools such as Power BI... when utilized with business strategy, it assures achieving maximum revenue and reduces loss.

???? The latest report from Salucro Healthcare Solutions sheds light on the evolving challenges in Revenue Cycle Management (RCM) that healthcare professionals face in 2024. In my opinion, the top two challenges go hand in hand. 1. Timely patient collections, as cited by nearly half (48%) of revenue cycle and finance leaders. This underscores the importance of efficient and patient-friendly collection processes in healthcare finance. 2. Managing denials (36%) Denial management remains a critical focus, emphasizing the importance of effective strategies to minimize revenue leakage. As we navigate these challenges, staying informed and adapting is more crucial than ever. Let's discuss: How is your organization tackling these issues? Are there innovative strategies or technologies you're employing to stay ahead in 2024's dynamic healthcare landscape? #HealthcareFinance #RevenueCycleManagement #PatientCollections #DenialManagement #SalucroHealthcareSolutions #Adaptability #InnovationInTheWorkplace #BeckersHealthcare

Does your organization's billing and revenue management techniques align with the latest legislative changes? Join me and Kimberly Altman from Optum for an engaging webinar as we take a deep dive into strategies that keep your organization compliant and financially efficient. Learn how to proactively navigate Medicare's new challenges in the face of demographic shifts. Don’t miss the opportunity to optimize customer relationships. Register now! https://lnkd.in/eAu9hfvh #Webinar #Healthcare #MedicareChanges #Billing #RevenueManagement #Compliance #pharmacybilling #PBM #MemberSatisfaction #healthtech #healthinsurance #healthindustry #ormb #revenuemanagement #betterrevenuemanagement

Struggling with denied claims and slow reimbursements? It's time to revolutionize your claim management process! Discover how a robust Claim Management Solution can streamline operations, reduce denials, and accelerate payments in our latest blog post. Ready to transform your healthcare organization? Learn more: https://bit.ly/3Aq6ras #ClearTheWayForCare #Healthcare #ClaimsManagement #RCM

Value-based reimbursement models are driven by value, not volume. Learn how automation and bundling payments based on episodes of care (rather than fee-for-services claims) can help you reduce unwarranted variations and more accurately predict medical costs—without significant administrative burden or cost. #Healthcare #Payers #bundledpayments #valuebasedpayment #valuebasedcare #NetworXPaymentBundlingAdministration #NetworXPricer #NetworXModeler Cognizant https://cogniz.at/4bCUtrw

According to Healthcare Finance News, the benchmark for auto-adjudication is above 85 percent. Yet, many health plans struggle with lower rates, leading to costly backlogs and inefficiencies. At HealthAxis, our staff augmentation services offer a targeted solution: 1?? Expert Configuration and Claims Analysts: Our professionals refine your business rules, streamlining your system for higher auto-adjudication rates. 2?? Skilled Backlog Management: Efficiently address and clear backlog issues with our specialized staff, ensuring your claims process runs smoothly. 3?? Enhanced Claims Efficiency: With a focus on reducing denials and improving process automation, our team brings the expertise needed to transform your claims processing. Don't let inefficiencies hold back your operations. Partner with HealthAxis for a streamlined, cost-effective claims process! ?? Learn More ?? https://lnkd.in/e9i_unPs #HealthAxis #ClaimsEfficiency #StaffAugmentation #ClaimsProcessing #ClaimsManagement?#HealthcarePayers #ThirdPartAdministrator

The Case For Investing in Professional Services The New Era of Protecting the Business of Healthcare Payers in Today’s Ecosystem ? Every healthcare payer has unique requirements and existing infrastructure that must be taken into account when implementing new technology. System integration and interoperability management are essential to: ·??????Drive efficiency ·??????Improve data accuracy ·??????Enhance decision-making ·??????Provide a seamless customer experience ·??????Reduce costs? ·??????Enable scalability? ·??????Enhance the overall quality of care and services delivered to members ·??????Maintain regulatory compliance MHC Services Group helps tailor solutions to meet each healthcare payers’ unique requirements, from strategic planning to execution. Learn How MHC Services Group Can Help Minimize Disruption While Implementing New Systems https://lnkd.in/g6qRhJ97 #MHC #MHCservicesgroup #implementation #systemimplementation #coreadministrationimplementation #payers #payerimplementation #healthcarepayertechnology #claimsadministration #healthcarepayerconsulting

???? Dive into the future of healthcare payments with us! Discover the latest trends shaping provider reimbursements, from electronic transactions to navigating high-deductible plans. Join RevCure360 to stay ahead of the curve and optimize your revenue cycle for success! #HealthcarePayments?#Trends?#RevenueCycleInsights

Healthcare organizations are struggling to keep up with evolving regulations, like the No Surprises Act. This has led to a significant backlog in payments, further straining financial resources. Outsourcing your RCM tasks can help navigate these complexities and ensure timely payments, allowing your team to focus on what they do best—caring for patients. https://hubs.la/Q02NgLF70 #HealthcareCompliance #RCM #MicroSourcing