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Stop the Denial Train: Use Real-Time Eligibility & Pre-Service Financial Clearance

Stop the Denial Train: Use Real-Time Eligibility & Pre-Service Financial Clearance

by Nicholas Sachs | May 29, 2025 | Revenue Cycle Optimization

In the fast-paced world of healthcare, the last thing anyone wants is a roadblock. Yet, for both patients and providers, claim denials and unexpected medical bills can feel like just that – frustrating obstacles on the path to care and financial stability....
Proactive Denial Prevention & Appeals Management

Proactive Denial Prevention & Appeals Management

by Nicholas Sachs | Apr 29, 2025 | Revenue Cycle Optimization

Every denied claim represents lost time, delayed cash flow and growing frustration, thus proactive denial prevention is paramount. Many denials are avoidable—and when they do occur, they can often be overturned with strategic, well-executed appeals. At the heart of...
Insurance Claims & Prior Authorizations Streamlined with AI & RPA

Insurance Claims & Prior Authorizations Streamlined with AI & RPA

by Nicholas Sachs | Mar 27, 2025 | Revenue Cycle Optimization

In the complex world of healthcare revenue cycle management, insurance claims and prior authorizations are among the most time-consuming and error-prone processes. But with the rise of Artificial Intelligence (AI) and Robotic Process Automation (RPA), healthcare...
Upcoming Blog Series on Claim Denials

Upcoming Blog Series on Claim Denials

by Nicholas Sachs | Feb 28, 2025 | Revenue Cycle Optimization

Our February blog post is going to introduce and outline our upcoming five-part series on claim denials. Experian’s Health Report for 2024 had nearly three out of four respondents stating their claims denials have gone up, versus less than half of respondents only two...
Preparing for 2025: Key Trends & Predictions in Medical Collections

Preparing for 2025: Key Trends & Predictions in Medical Collections

by Nicholas Sachs | Dec 19, 2024 | Revenue Cycle Optimization

As healthcare providers navigate the evolving landscape of medical collections, staying informed about emerging trends and potential regulatory changes is crucial. In 2025, a strategic approach to collections, leveraging technology and focusing on patient...
How To Maximize Medicare Reimbursements

How To Maximize Medicare Reimbursements

by Nicholas Sachs | Nov 27, 2024 | Revenue Cycle Optimization

Medicare presents both opportunities and challenges for healthcare providers, with reimbursement management being the primary focal point. With complex regulations, evolving policies, and an intricate reimbursement structure, maximizing Medicare reimbursements is...
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