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Tag: Healthcare Business Insights

6 Strategies to Improve Your Appeal Processes

By: Christopher Luchterhand
Date: December 13, 2018
Category: Revenue Cycle
Filed under: appeals, billing and collections, denials, HBI, Healthcare Business Insights, management, reimbursement, Revenue cycle, underpayments

HBI’s research in recent years has indicated a wide range of appeal outcomes among healthcare providers. For example, respondents to one survey noted first-pass success rates anywhere from 6% to 85%, with about half reporting between 40% and 65%. Such variation may be at least partially explained by the wide range of contributing factors, such […]


Pulse Check: Enhancing Effectiveness of Denials Representatives

By: Noelle Wysocki
Date: October 24, 2018
Category: Custom Services
Filed under: account resolution, appeal, contract training, denial, denial representative, denials, denials mangement, denials team, HBI, Healthcare Business Insights, Pulse Check, training

Recently I was asked to discuss what skills make denials representatives more effective. A few important things came to mind. Smart Workflow To ensure that a representative is able to efficiently work denials and appeals, they should prioritize their worklists first by payer, then by patient type (IP or OP), and then by underpayment descending. […]


Pulse Check: Empower Your Employees through Customer Service Training

By: Noelle Wysocki
Date: October 3, 2018
Category: Custom Services
Filed under: customer service, Customer Service Training, DRG, employee engagement, Employee Motivation, HBI, Healthcare Business Insights, Patient Satisfaction, Pulse Check, Retention, training, Training Workshops

We usually think of restaurants or retail stores when we think of people providing customer service. Servers and store clerks try their hardest to accommodate the needs and wishes of their customers, making modifications to orders and fulfilling special requests, all while remaining cheerful, unflappable, and seemingly happy to serve the customer. I, myself, come […]


Pulse Check: Are You Effectively Preventing Denials?

By: Sam DePaz
Date: June 27, 2018
Category: Revenue Cycle
Filed under: denials, denials management, HBI, Healthcare Business Insights, Pulse Check, RC Management, RC report, reporting, Revenue cycle

“Denials Management” and “Denials Prevention” – the two buzz phrases that trade places as the top initiative for revenue cycle directors nationwide every 18 months or so. Right now, HBI is hearing that FY2019 will be a “Denials Management” year. Hopefully those denials will be effectively managed and directors will switch back to a “Denials […]


Pulse Check: Don’t Fly Blind – Let HBI Assist with Data Analysis

By: Noelle Wysocki
Date: June 20, 2018
Category: Custom Services
Filed under: Data, HBI, Healthcare Business Insights, Pulse Check, RC, RC optimization, rc reporting, reporting, Rev Cycle, Revenue cycle

Data is only useful if you are able to capture the right assets and make it actionable. So often my team hears our clients tell us that they have one of two problems: they have way too much data from several different systems and making sense of any of it is time consuming and fruitless […]


Pulse Check: Powerful Data Drives Successful Contract Negotiations

By: Noelle Wysocki
Date: May 23, 2018
Category: Custom Services
Filed under: Contract Negotiations, Contracting, DRG, HBI, Healthcare Business Insights, Healthcare Contracting, Healthcare Contracts, hospital finance, hospital rates, Managed Care Contracting, Payer, Pulse Check, rates, RC, RC Management, RCM, Rev Cycle, Revenue cycle

Get the most out of your negotiations! The best of negotiators are successful because they’ve done their homework and they bring hard evidence to their discussions. Sure, there’s a certain art to negotiations, but it’s practically impossible to argue against cold hard facts. When you go into contract negotiations with third party payers to secure […]


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