Complex Claims

Written by: Janice McGoldrick, VP of Revenue Cycle Management As hospitals work to stabilize revenue amid increasing payer scrutiny, Veterans Administration (VA) and TRICARE denials continue to challenge even the most experienced revenue cycle teams. Though both...

A Growing Denial Challenge Motor vehicle accident (MVA) and workers’ compensation (WC) claims represent a unique challenge in the healthcare revenue cycle, one that can’t be managed with the same strategies used for commercial or government payer denials. These...