Remove Data Entry Remove Information Remove Revenue Cycle Management
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Streamlining Payer Requests for Information: A Provider’s Guide

RevCycle

Hospitals are facing a growing threat to their bottom lines, namely payer requests for information (RFI’s). Cloud-Based Solutions: Consider adopting cloud-based solutions for revenue cycle management. These can provide real-time access to patient data and improve communication with payers.

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The Evolution of Electronic Medical Claims and Revenue Cycle Management in the US Healthcare System

SSI Healthcare Rev Cycle Solutions

The Evolution of Electronic Medical Claims and Revenue Cycle Management in the US Healthcare System Home / November 29, 2023 In the constantly evolving landscape of US healthcare, the story of electronic medical claims and revenue cycle management stands out as a testament to technology’s transformative power.

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Insurance Claims & Prior Authorizations Streamlined with AI & RPA

RevCycle

In the complex world of healthcare revenue cycle management, insurance claims and prior authorizations are among the most time-consuming and error-prone processes. Manual claims processing involves repetitive data entry, cross-checking with payer policies, and codingall prone to delays and human error.

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Healthcare Industry Shifting to More Efficient Claim Statusing

SSI Healthcare Rev Cycle Solutions

Although various methods exist for obtaining claim status information from MACs (Medicare Administrative Contractors), CMS (Centers for Medicare and Medicaid Services) recommends using EDI 276/277 transactions as the preferred method of obtaining claim status.

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Solving the Prior Auth Problem

SSI Healthcare Rev Cycle Solutions

The current prior auth (PA) process is riddled with errors and inefficiency due to its reliance on manual data entry. Reduction in the administrative burden on revenue cycle teams in turn leads to improved job satisfaction and employee retention. PRIOR AUTH IS A PROBLEM WORTH SOLVING 1.

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Why Hospitals Should Consider Automating Prior Authorization

SSI Healthcare Rev Cycle Solutions

By eliminating the need for manual data entry and relying on electronic systems to process requests, hospitals can minimize the risk of errors and ensure that all necessary information is captured and transmitted accurately. Just some minimal data entry and go. Don’t forget about expertise and support.

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Prior Authorization FAQ for Healthcare Providers

SSI Healthcare Rev Cycle Solutions

This current system is repetitive and prone to errors, often requiring hours of time-consuming detective work and manual data entry. It involves using software to gather, process and transmit information about the requested medical treatment, insurance coverage and claim information.