Payer Relations
Hospitals are assessing revenue-cycle management performance, employing best practices and using analytics and automation to ensure financial health.
This final webinar in our series on payer denial tactics is dedicated to addressing your most frequently asked questions from the previous sessions on payer escalation strategies, diagnosis-related group (DRG) downgrades and denials management. Arm yourself with tested strategies and practical…
Learn how to enhance your hospital's financial resilience through strategic approaches in handling denials, implementing effective appeals processes, and leveraging data analytics for more informed decisions. This session will equip health care professionals with the tools to safeguard their…
Impact of Payer Denial Tactics on the Clinical Revenue Cycle Thursday, January 25, 2024 12 - 1 p.m. Eastern; 11 - 12 p.m. Central; 9 - 10 a.m. Pacific
Hospitals are using EHR integration, analytics, AI and robotic process automation to improve revenue cycle management and financial stability.
Join us as we discuss the range of tactics payers are using against providers and how we’ve partnered with hundreds of hospitals throughout the country to develop strategic programs and data-driven initiatives across the clinical revenue cycle (e.g., utilization management, documentation/coding,…
Meeting Materials
Agenda and Background Memo
To help members address payer prior authorization and payment delays and denials, as well as anticompetitive practices, on patients and provider organizations, the AHA has launched AHA Vitality Index™. Learn how this dashboard supplies the commercial payer transparency that hospitals need more than…
Some employers are moving away from offering traditional coverage with a provider network and instead are using reference-based pricing for some or all of services they cover. Under reference-based pricing, the employer (supported by a third party administrator [TPA] or other vendor) pays a set a…
Greater payer-provider alignment is needed for the U.S. health care system to achieve high-quality, affordable care.