Interview:
Ashley Kilmartin
Director of Strategic Partnerships
Navigating Rising Healthcare Costs and Claim Denials: PHIMED’s Proactive Approach
Healthcare billing is evolving, with technological advancements paving the way for more efficient practices. Despite these innovations, the challenge of claims denials remains prominent, exacerbated by increasing healthcare costs and stringent payer policies. A recent study by Experian Health has revealed a startling increase in claims denials, an issue compounded by stricter reimbursement protocols and administrative burdens. These denials not only delay payments but also strain resources, impacting both patient care and the bottom line.
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Interview:
Ashley Kilmartin
Director of Strategic Partnerships
The Rise of Zero Trust: A Strategic Defense Against Healthcare Cyberattacks
This year has proven particularly challenging for cybersecurity in healthcare. High-profile cyberattacks on organizations like Change Healthcare, Kaiser Permanente, and Ascension have highlighted critical vulnerabilities, affecting millions of records and disrupting essential services. These incidents showcase the escalating need for robust cybersecurity frameworks to protect both operational capabilities and sensitive patient data.
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Interview:
Ashley Kilmartin
Director of Strategic Partnerships
Overcoming 2024’s Medical Billing Hurdles: Navigating Coding Complexities, Denials, and Compliance with Advanced Solutions
In 2024, the medical billing sector grapples with several challenges including the growing complexity of billing codes, increasing rates of claim denials, the shift towards value-based care, and stringent regulatory compliance demands. With nearly half of healthcare providers reporting a rise in denial rates due to various discrepancies, adapting billing systems for new reimbursement models and continuously updating practices for regulatory compliance is essential for maintaining efficiency and accuracy in healthcare revenue cycle management.
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Interview:
Ashley Kilmartin
Director of Strategic Partnerships
Navigating Denial Management Challenges: Innovative Approaches for Healthcare Providers
Denial management is a complex arena. Healthcare providers grapple with coding errors, documentation discrepancies, and evolving payer regulations. Manual appeal processes, data silos, and lack of predictive insights all contribute to delayed and inefficient denial resolution.
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