With hospitals losing an estimated
The need for successful denial management has been an area of focus for
TruBridge, as a typical hospital puts about 10% of its revenue at risk
due to denied claims. This can be seen in the May/
In the article, Fowler notes critical claim denial trends and the importance of implementing corrective actions. Statistics show that 90% of claim denials are preventable and avoidable, and of those denied claims, approximately 65% are never worked, which translates into a lot of needlessly lost revenue for many hospitals.
Fowler said, “By implementing a comprehensive denial management strategy, facilities can eliminate the majority of preventable and avoidable denials. Ultimately, this allows organizations to work a small number of denials more efficiently and intelligently, ensuring the best opportunity for payment. Hospital executives should have zero tolerance for preventable and avoidable claim denials. The TruBridge Denial Management Program not only helps identify and minimize avoidable claim denials, it helps organizations maximize the overturn percentage of the remaining denials.”
TruBridge will be attending HFMA’s 2018 Annual Conference, so interested facilities are invited to visit Booth #234 to learn more about the TruBridge Denial Management Program.
TruBridge, a member of the CPSI family of companies, provides business, consulting, and managed IT services along with an end to end Revenue Cycle Management (RCM) solution. With an arsenal of RCM offerings ranging from an HFMA Peer Reviewed® product to complete outsourcing, TruBridge helps hospitals, physician clinics, and skilled nursing organizations become more efficient at serving their communities.
Tracey Schroeder, 612-787-3125
Chief Marketing Officer