Strategic Escalation in the Face of Rising MA Plan Denials Originally published on Becker's Hosptal ReviewRelationships between providers and Medicare Advantage (MA) plans have become more strained as payers aggressively deny claims. To ensure providers' financial...
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AHA Associates Bringing Value Podcast
Payer Wars: Winning the Battle for Revenue Integrity
Boost Hospital Revenue Through Regulatory Alignment: Lessons from Dr. Morrissey
“Regulatory requirements should be the foundation of your financial strategy,” CorroHealth Chief Medical Officer Dr. Jerilyn Morrissey said in the latest AHA podcast. She explains how hospitals can drive stronger financial performance by shifting their denials management goals from avoidance to a data-driven, regulatory-based strategy. Hospitals can drive more revenue by aligning processes with clear regulatory expectations, such as CMS’ two-midnight rule, and by integrating their revenue cycle teams. Dr. Morrissey shares how this strategy generated a health system nearly $28 million in new revenue. Tune in to learn how regulatory alignment can reshape your hospital’s approach to denials management and support financial stability.
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Strategic Escalation in the Face of Rising MA Plan Denials
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