TruBridge Introduces Denial Management Program
June 21, 2018
MOBILE, Ala.--(BUSINESS WIRE)--
TruBridge LLC, a subsidiary of CPSI (NASDAQ:CPSI), a community
healthcare solutions company, today announced the introduction of its
Denial Management Program.
With hospitals losing an estimated $262 billion a year from insurance
denials, denial management has never been more important. TruBridge, a
provider of revenue cycle management solutions to more than 1,000
healthcare organizations, is now offering a Denial Management Program, a
three-step process designed to assist organizations with taking control
of their denied claims. TruBridge utilizes data analytics, best-practice
tools and consulting, and on-going performance management to maximize
the payments received for the care provided. This program evaluates the
entire claims process from start to finish, allowing TruBridge to
uncover the root cause of denials.
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/June 2018 issue of HealthLeaders
Magazine, where Chris Fowler, president of TruBridge, discussed
claim denials and avoiding the avoidable.
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
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.
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.
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Tracey Schroeder, 612-787-3125
Chief Marketing Officer