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Strengthening Financial Performance in Rural Hospitals
Hospitals are assessing revenue-cycle management performance, employing best practices and using analytics and automation to ensure financial health.
Automating and Streamlining the Claims Management Processes
Hospitals are using EHR integration, analytics, AI and robotic process automation to improve revenue cycle management and financial stability.
FAQs: Payer Escalations & Strategic Denials Management
This final webinar in our series on payer denial tactics is dedicated to addressing your most frequently asked questions from the previous sessions on payer escalation strategies, diagnosis-related group (DRG) downgrades and denials management. Arm yourself with tested strategies and practical tactics to enhance your organization’s financial health.
Strategies to Counter Payer Denial Tactics
Learn how to enhance your hospital's financial resilience through strategic approaches in handling denials, implementing effective appeals processes, and leveraging data analytics for more informed decisions. This session will equip health care professionals with the tools to safeguard their revenue in a complex payer landscape.
Impact of Payer Denial Tactics on the Clinical Revenue Cycle
Impact of Payer Denial Tactics on the Clinical Revenue Cycle
Net Impact of Payer Denial Tactics on Hospitals
Join us as we discuss the range of tactics payers are using against providers and how we’ve partnered with hundreds of hospitals throughout the country to develop strategic programs and data-driven initiatives across the clinical revenue cycle (e.g., utilization management, documentation/coding, managed care/contracting, back-end revenue cycle functions) to combat these tactics.
Leverage Your Data to Hold Payers Accountable
To help members address payer prior authorization and payment delays and denials, as well as anticompetitive practices, on patients and provider organizations, the AHA has launched AHA Vitality Index™. Learn how this dashboard supplies the commercial payer transparency that hospitals need more than ever.
Fact Sheet: Reference-based Pricing
Some employers are moving away from offering traditional coverage with a provider network and instead are using reference-based pricing for some or all of services they cover. Under reference-based pricing, the employer (supported by a third party administrator [TPA] or other vendor) pays a set a price for each health care service instead of negotiating prices with providers.
Payer Provider Collaboration
Greater payer-provider alignment is needed for the U.S. health care system to achieve high-quality, affordable care.