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Healthcare denials pose a significant challenge, affecting both patients’ access to care and hospital financial stability. In a recent podcast with the American Hospital Association (AHA), CorroHealth Chief Medical Officer Dr. Jerilyn Morrissey delved into the pressing issue of healthcare claim denials, which burden patients. They delay or prevent access to medically necessary care, increase out-of-pocket expenses, and exacerbate financial challenges for hospitals, many of which are already operating in the red or on razor-thin margins. Listen to Dr. Morrissey’s expert advice on effective denials management strategies for modern hospital revenue cycle management.Â
For decades, managed care contracting has been organized around a single objective: get a better rate. Health system negotiating teams prepare detailed market analyses, benchmark against regional competitors, and enter renewal cycles focused almost entirely on the...
Financial pressures across healthcare continue to intensify. Rising costs, tighter margins, and growing expectations around quality and outcomes are forcing organizations to take a closer look at fee-for-service (FFS) and value-based care (VBC), including how care is...
What Is Denials Management in Healthcare? Hospitals spend billions of dollars each year fighting claim denials, but the volume keeps climbing. For many leaders, the reflex is to add more staff, more metrics and more appeals in a race to keep up with payer demands....
