Claims reimbursement
Providers rely on payer reimbursement to cover the costs of providing healthcare services. Without timely and complete reimbursement, providers may struggle to maintain operations. Effective claims management helps to reduce errors and minimize fraud risk while streamlining the reimbursement process to decrease denials.
Top Stories
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News
28 Jan 2026
Half of providers report revenue losses from credentialing delays
Credentialing delays are costing some hospitals over $1M annually as provider organizations face workforce challenges and manual processes. Continue Reading
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News
22 Jan 2026
Medicaid improper payments increase, reaching $37.39B
Medicaid, CHIP and Medicare Advantage all saw increases in improper payment rates in FY 2025, while Medicare fee-for-service's rate remained below 10%. Continue Reading
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News
20 Jul 2017
3 Challenges Providers Face with Healthcare Bundled Payments
The top challenges of healthcare bundled payments include achieving scale, leveraging post-acute care resources, and managing uncontrollable costs. Continue Reading
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Feature
09 Jun 2017
The Difference Between Medicare and Medicaid Reimbursement
Medicare and Medicaid reimbursement models vary according to federal and state regulations, but both are striving to embrace value-based reimbursement. Continue Reading
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News
11 May 2017
3 Best Practices for Hospital Claim Denials Management
Implementing claim denials management best practices is key to ensuring hospitals maximize claims reimbursement revenue and prevent denials. Continue Reading
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News
10 Mar 2017
Top 4 Claims Denial Management Challenges Impacting Revenue
Common claims denial management obstacles for providers include quantifying denial rates, using manual processes, receiving preventable denials, and appealing claims. Continue Reading
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Feature
04 Nov 2016
How to Maximize Revenue with Improved Claims Denials Management
Enhancing claim denials management strategies can help providers recoup lost healthcare revenue and maximize reimbursements. Continue Reading
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News
02 Aug 2016
4 Medical Billing Issues Affecting Healthcare Revenue Cycle
Addressing these four common medical billing challenges can have a positive impact on the healthcare revenue cycle. Continue Reading
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News
15 Apr 2016
Defining the Top 10 Terms of Healthcare Revenue Cycle Management
MACRA, MIPS, accountable care, and supply chain management are among the top terms used by healthcare revenue cycle pros. Continue Reading
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Feature
12 Apr 2016
Key Ways to Improve Claims Management and Reimbursement in the Healthcare Revenue Cycle
To keep pace with changes to healthcare reimbursement, hospitals and healthcare organization need to reduce inefficiency in revenue cycle management. Continue Reading
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News
21 Sep 2015
3 Strategies to Improve Healthcare Supply Chain Management
The evolution and progression of supply chain and reimbursement tactics and procedures within the healthcare industry serves as a keen present focal point. Continue Reading
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News
30 Mar 2015
Quantify Denial Rates for Smooth Revenue Cycle Management
The ability to swiftly and economically scrub claims and quantify denial rates is critical to ensure smooth revenue cycle management. Continue Reading
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News
09 Mar 2015
What Steps Comprise the Life Cycle of a Medical Claim?
It is important to recognize and distinguish each stage from the other within the total life cycle of a medical claim to decrease errors and cost. Continue Reading
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News
04 Nov 2014
Examining Differences Between Medicare, Medicaid Reimbursement
While Medicare and Medicaid are similar programs, there are different challenges when it comes to reimbursement. Continue Reading