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“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.
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....
