Revenue Cycle Management Blog

Category: RCM Thought Leadership

The Denial Dilemma: Why 1 in 5 Claims is Being Denied

The Denial Dilemma: Why 1 in 5 Claims is Being Denied

Denial of claims by insurance payers has become a widespread and escalating problem in the healthcare industry. These denials are not just administrative nuisances; they represent a significant threat to providers’ financial stability and a detriment to patient care. This article, the first in a five-part series, will examine the alarming statistics behind medical billing denials and their multifaceted impact on healthcare practices.

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RCM Top Metric: How to Calculate Your Denial Rate and Reduce Denied Claims

RCM Top Metric: How to Calculate Your Denial Rate and Reduce Denied Claims

When healthcare providers regularly calculate claim denials and interpret this metric, it gives them a clear path to increasing cash flow, optimizing performance, and reducing administrative waste. In this article, we’ll help you learn to calculate your medical claim denial rate, why it’s important, what industry benchmarks to strive for, and how to reduce your denial rates over time.

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Seven Most Important RCM Metrics That Every Medical Practice Should Monitor

Seven Most Important RCM Metrics That Every Medical Practice Should Monitor

A well performing medical practice will experience high patient satisfaction, efficient RCM billing processes, speedy healthcare insurance reimbursements, strong patient cash payments, and strong overall revenue performance. Measure the health of your own practice against the seven metrics outlined in this article that provides a clear snapshot of your financial performance.

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