Explore our Thought Leadership

This article was developed from an episode of Graphium Health's “Time Out For Anesthesia” with Courtney Franco, Vp of Sales at ImagineSoftware. You can watch or listen to the original interview via the link at the bottom of this page.

With the January 1st, 2022 official enactment of the No Surprises Act (NSA) now prohibiting surprise patient bills, it comes as no surprise that healthcare providers across the country have since been evaluating the potential impact on their organizations.

A recent visit for an annual physical left me feeling angry, cheated, and worst of all, broke. After expecting a twenty-dollar co-pay, I was shocked to hear the administrator at the front desk utter, “And, today, you owe, $275.” My eyes grew big, almost popping out of my head, “Excuse me?” I questioned.

Revenue cycle analytics is an approach to value analysis that includes all aspects of patient care, from supplies and equipment to services, care and outcomes. By implementing revenue cycle analytics, healthcare providers can avoid losing revenue in the midst of a value-based care reimbursement model.

When you’re processing hundreds, if not thousands of complex medical claims every week, a small percentage of denied claims can have a significant impact of your bottom line. This is where automated denial management comes in. Here are some ways automation can help bridge the gap between claim denials and higher profit for your healthcare organization.