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Harnessing the Power of AI and Salesforce: Medlinks Cost Containment’s Innovative Approach to Healthcare Denial Management

The world of healthcare finance is replete with numerous challenges, and one of the most daunting is denial management. The labyrinthine structure of insurance claims processing, combined with the bureaucratic red tape and inefficiencies in healthcare systems, can...

What does the Misinterpretation of CMS Rule 2202.6 Cost Your Facility?

Introduction With Healthcare Providers facing a never-ending onslaught of denials, this particular denial is likely to cost you millions in unnecessary losses. It revolves around payers and their Third Party Administrators “grossly” misinterpreting CMS Rule 2202.6 in...

2023 Healthcare Claims Denials: A Review

The current healthcare landscape presents a sea of financial complexity where billions of dollars in claim denials are processed each year. In 2023, it is estimated that these healthcare denials will amount to $120 billion in the United States. These figures are...

What are the latest trends in healthcare data management?

Adoption of Cloud-based Solutions: As healthcare data volumes continue to grow exponentially; traditional data storage and management systems often struggle to keep pace. Cloud-based solutions offer virtually unlimited storage capacities and are easily scalable to...

Clinical Medical Necessity Appeals and Their Overturning: A Review

The healthcare landscape is riddled with complex processes, one of which is the clinical medical necessity appeal. Hospitals, healthcare providers, and patients can sometimes disagree with insurance company decisions about whether a particular service is medically...

Consolidating your Facilities Audit Losses

Apr 7, 2017

In my recent article “your audit losses begin in medical records” I discussed the role of the release of information officer in the dramatic impact that they can have upon audit losses. In this series we want to more deeply delve into how to consolidate your audit...

Eliminating Audit Denials

Mar 15, 2017

Your Audit Losses – Step One Of all the sites I’ve ever consulted for there is always the same pattern and posture with auditing. Some are better than others but all have divided the audit losses into generally three categories. 1. Business Office Denials 2....