HITInfrastructure

Claims Reimbursement Resources

Healthcare Contract Management Systems & Modeling: 5 Best healthcare contract modeling practices to capture payer underpayments and denials

Whether utilizing payer contract management software or a manual provider contract management system, read the top best practices for healthcare denial management. Included is the “Silent Revenue Killer” AKA “Underpayments... Download white paper

The Economics of Inefficiency: What Are Missing Bills, Under-Coding, and Compliance Fines Costing You?

Hear how innovative healthcare organizations have achieved success dealing with common revenue cycle challenges.  Topics of discussion: Finding and dealing with missing bills and charges Training and simplifying medical bill coding Red... View webcast

How to Align Quality Oncology Care with Appropriate Reimbursement

Payers and providers spend a substantial amount of time and resources managing authorizations for oncology treatments. In fact, authorizations are among the most manual and costly administrative transactions for both payers and providers. M... Download white paper

FAQs: Choosing an Oncology Treatment Preauthorization Vendor

When searching for a partner to improve your cancer program, it is easy to become overwhelmed with the options. In these Frequently Asked Questions, we respond to payers’ most pressing questions about an online, evidence-based, oncolo... Download white paper

How Health Plans Can Exceed Industry Standards in Member Cancer Care

Improving member care has numerous benefits to both the member and the health plan; and technology-driven solutions can simplify compliance with evidence-based standards. See how one health plan tackled streamlining treatment approval, perm... Download white paper

The Interactive Guide to 3M™ Coding and Reimbursement System (CRS): It Started with a Tree

The interactive guide to 3M™ Coding and Reimbursement System (CRS) and 3M™ Coding and Reimbursement System Plus (CRS+). The goal of this document is to educate organizations on the history of the most widely used coding and reim... Download white paper

A Holistic Approach to Payment Accuracy Helps Drive Cost Savings

Our end-to-end payment accuracy portfolio leverages proven solutions to help payers address each stage of the payment process more effectively – from pre-submission through post-pay audit and recovery.  The cohesive approach help... Download white paper

The State of Value-Based Care in 2018

This report reveals how payers are responding to rapid changes and demands in an uncertain market, what reimbursement models and approaches are most effective and how much they are saving, what models are being operationalized and scaled, a... Download white paper

Infections with the highest impact on Medicare HAC penalties

Where do you start to improve your organization’s HAC scores? Addressing intestinal infections (C. diff.), antibiotic-resistant staph infections (MRSA) and other high-impact infections can have a huge impact on your HAC scores and get... Download white paper

Infographic: When it comes to HACs, how do you score?

A large U.S. hospital in the lowest performing 25 percent can face $1.1 million in lost reimbursement annually and it’s not much better for mid-sized hospitals. Beyond the financial penalty, poor HAC performance, in comparison to othe... Download white paper

Physician Advisor Programs: A Pillar of Thriving Provider Organizations

By making use of external resources that assist in developing, implementing, and maintaining high-quality physician advisor programs, hospitals can improve their financial performance and ensure that patients receive the most appropriate ca... Download white paper

Analytics is the Answer to Compliant Coverage Identification

Uncover hidden patient coverage. How do you uncover reimbursement sources for patients presenting as self-pay? New, stringent anti-phishing regulations prohibit traditional eligibility searches, but you can’t afford more accounts slip... Download white paper

Infographic: Your Claims Management Solution Shouldn’t be the Topic of your Morning Coffee

Don't settle for claims management that is just fine. Read this infographic to see how you can revive your claim workflow and caffeinate your margins. Download white paper

Infographic: Achieving a Better ROI from Claim Status Checking

Monitoring the status of active claims is important in keeping small issues from turning into costly denials. But an even bigger problem is the amount of time wasted by staff members manually checking on claims that are proceeding to paymen... Download white paper