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Ghana Health Financing Summit 2019 | Accra, Ghana

 

Photo credit: Accelerator/Adwoa Twum

Ghana Health Financing Summit 2019 | Accra, Ghana

 

Photo credit: Accelerator/Adwoa Twum

The Accelerator hosted a workshop with the Cote d’Ivoire’s Ministry of Health from March 2-3, 2020 in Abidjan to support further development of the government’s capacity to provide oversight and leadership of HIV programs at central and decentralized levels.

Medical claims denials are on the rise and continue to be a costly problem for health systems. Unfortunately, the vast majority of providers focus their resources on reactive responses, working to appeal denials and recover payments after denials have already occurred.

 

In a Becker’s Healthcare podcast an expert, discussed the problem of rising denials, why a proactive approach based on data is more effective and best practices for writing appeal letters.

 

Read more: allzonems.com/practical-tips-for-reducing-claims-denials/

A survey conducted by leading healthcare technology company, revealed the top revenue cycle tasks like denials management, coding, and prior authorizations requiring the most subject matter expertise. Out of 15 tasks listed, over 550 healthcares financial and revenue cycle leaders identified denials management, coding, and prior authorizations as the top choices.

 

Denials management was chosen by 78.7%

50.1% identified coding

49.7% identified prior authorization

According to the survey, denials management is not only the revenue cycle task that requires the most subject matter expertise, but it is also the most time-consuming. This is followed by prior authorization and insurance follow-up. With healthcare systems and hospitals facing significant staffing gaps, advanced automation powered by AI and ML can help simplify these complex tasks, save time, and increase revenue for providers.

  

www.allzonems.com/rcm-success-denials-coding-prior-author...

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