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Accuracy changes everything.
Identify overpayments and underpayments

IDENTIFY

Identify overpayments and underpayments
RESOLVE
Identify overpayments and underpayments
PREVENT
Payment integrity

Overpayments

Identify, resolve, and prevent unnecessary spend.

✓ Data Mining & Recovery
✓ COB Identification & Recovery
✓ ESRD Audit
✓ Clinical & Coding Validation
✓ AI Labs / Payer Intelligence

Credit Balance

Credit Balance

The intersection of payment accuracy.

✓ Credit Balance Audit + TRENDSubmit
✓ Credit Balance Management & Prevention

Denial Management

Underpayments

Identify, resolve, and prevent revenue leakage.

✓ Denial Management
✓ Zero-Balance Accounts Analysis
✓ AR Rundowns

Looking Back: A 2023 Retrospective of Denial Industry Trends

by | 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...

Utilization Management to Increase Patient Satisfaction

by | Mar 16, 2023 | Article, Health Systems & Hospitals, Utilization Management

What is a health system without patients, or patients without a health system? Patient satisfaction is overwhelmingly important to the growth and success of a health system, and in turn, they expect the utmost care. That doesn’t mean the system is without its...

Optimizing Your Revenue Cycle: Best Practices & Recommendations

by | Nov 17, 2022 | Article, Health Systems & Hospitals, Utilization Management

What is Utilization Management? Utilization Management assures your patients receive the care they need and provides a base to start focusing on denial prevention. Utilization Management comprises three assessments: prior authorization, pre-bill reviews, and...

Optimizing Your Revenue Cycle: Strategic Partnerships

by | Nov 10, 2022 | Article, Health Systems & Hospitals, Utilization Management

More than one-third of nurses plan to leave their positions by the end of 2022, prolonging the nursing shortage. In addition to nurses, there is a strong trend of struggling to retain revenue cycle staff. Approximately 25 percent of healthcare finance leaders report...

Optimizing Your Revenue Cycle: Applying Analytics

by | Nov 3, 2022 | Analytics and Reporting, Article, Health Systems & Hospitals, Utilization Management

Following and understanding industry trends is one of the best ways to improve your revenue cycle. By nature, the healthcare industry is constantly evolving. This means that your revenue strategy won’t stand up to the test of time without optimization and...

Optimizing Your Revenue Cycle: Denial Prevention

by | Oct 27, 2022 | Article, Health Systems & Hospitals, Utilization Management

As of 2022, payer denial rates are hitting averages as high as 80%. This increase in denials severely affects hospitals by decreasing revenue and overloading staff. Why the increase in denial rates, though? Payers are rapidly gaining two things: knowledge and...
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