Print Friendly, PDF & Email



Denials Management: Best Practices in Improving Revenue Cycle Processes & Monitoring Third-Party Payer Denials

The complexities surrounding third-party revenue cycle management, patient eligibility, and systems capabilities to support process design changes continue to increase, as do third-party claim denials across virtually all payers. Denials can affect the bottom line of healthcare organizations, leading to lost revenue and productivity; however, in many cases, denials are preventable. In order to prevent denials, it is critical that healthcare organizations develop & implement an effective denials management process, including:... continue reading

Best Practices for Complying with HIPAA & Safeguarding Patient PHI Accessible to Your Business Associates

Healthcare is predicted to be the most targeted industry for cyberattacks in 2017, according to the 2017 Data Breach Industry Forecast from Experian.   “Electronic health records remain likely to be a top target for hackers,” Experian found. To further heighten & complicate these risks, providers’ responsibilities for protecting personal health information (PHI) under the Health Insurance Portability and Accountability Act (HIPAA) extend to certain vendors, referred to as “business... continue reading

AAFCPAs Advises Healthcare Providers to Position Themselves for Change

We may not be able to fully predict how future changes to the Affordable Care Act (ACA) will affect the healthcare system, but AAFCPAs advises healthcare clients to position themselves for change.  AAFCPAs’ Matt Hutt reflects on last week’s healthcare reform news, and shares insight into what providers may expect: Healthcare providers must position themselves for change, and focus on short and long-term Strategic Planning.  Providers should now: assess the profitability... continue reading