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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...

Violation of your Medical Audit Policy

May 4, 2015

Recently one of our hospital clients had a Third Party Audit Firm sneak a request for records past a new person. In my article titled “Your Losses Begin in Medical Records” you’ll see that releasing medical records needs to be carefully considered. In any case these...

Consolidating your Facilities Audit Losses Part 2 in Medical Auditing

Apr 13, 2015

As we explored previously in our first article stopping loss can occur. Here’s how it starts: Identify and consolidate your findings in these areas: 1. Government Audits 2. Commercial Audits 3. Business Office Denials Most sites will keep these areas separate,...