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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
Decisions about clinical denials are often based on claims submitted before all supporting records are complete. DRG downgrades, clinical validation denials, and medical necessity challenges frequently arise long after the original claim is filed. The outcome of an...
Better Documentation and Coding Tech Leads to Better Care  Hospitals and health systems continue to face rising operational pressure. Patient volumes remain high, clinical staffing is tight, and administrative complexity grows every year. At the same time, leaders are...
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...
