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 […]
Tag: Healthcare Business Insights
Pulse Check: Enhancing Effectiveness of Denials Representatives
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
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?
“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
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
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 […]