by Trend HP | Mar 12, 2024 | Appeal Management, Article, Health Systems & Hospitals
Over half of U.S. hospitals ended 2022 with a negative margin as increased expenses quickly surpassed revenue growth. Among the issues heavily affecting the industry are claim denials—they have emerged as one of the most critical financial challenges for healthcare...
by Trend HP | Feb 20, 2024 | Appeal Management, Article, Health Systems & Hospitals, Revenue Integrity Consulting, Utilization Management
As the volume of denials continues to increase, hospitals and health systems need a more proactive approach to denial management and prevention. Providers are encouraged to move from a denial management framework to a denial prevention framework to capture appropriate...
by Trend HP | Feb 20, 2024 | Analytics and Reporting, Appeal Management, Article, Health Systems & Hospitals, Revenue Integrity Consulting, Utilization Management
A hospital’s denial issues vary based on the organization, and because of this, sometimes pinpointing potential denials can be difficult. Moving from a management to a prevention model is a slow process, and issues can potentially arise if denials by the department...
by Trend HP | Feb 13, 2024 | Appeal & Claim Technology, Appeal Management, Article, Health Systems & Hospitals, Revenue Integrity Consulting, Utilization Management
For the past few years, Medicare has been testing out new ways to bundle claims. The goal of this bundled claim switch is to improve care and reduce costs. A few apparent benefits in the bundled claims model have already been tested. One is simplifying the billing...
by Trend HP | Jan 8, 2024 | Article, Health Systems & Hospitals
The top 5 causes for false credit balances and what to do about them. False credit balances in healthcare accounts receivable are more than just numerical errors; they symbolize a daunting challenge that disrupts financial accuracy and operational efficiency. In a...
by Trend HP | Jan 3, 2024 | Appeal & Claim Technology, Article, Health Systems & Hospitals
As we look back on 2023, it’s evident that the denial industry has experienced a significant increase in claim denials. Nearly half of providers indicated that they saw a rise in denials compared to 2022. TREND Health Partner’s data supports this by...