Claim Denials Archives - Page 2 of 3 - LGI Healthcare Solutions

Why Leadership Matters in 2022

Leadership is at the core of every business. Great leaders make technology feel more human, giving both clients and employees what they need to be successful. In fact, speed, convenience, helpful employees, and friendly service matters to most consumers. The best way to bridge the isolation and disconnect of the healthcare digital age is simply
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Citizen Development is Not for Everyone

The phrase “Citizen development” is everywhere. Propelled by the proliferation of simple visual tools, it is advertised that basically anyone can create customer applications that previously required development skills and a deeper understanding of technology. Who Are Citizen Developers? According to Gartner, “A citizen developer is an employee who creates application capabilities for consumption by
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Connecting the Gaps in the Healthcare System Helps Everyone

The past three years have called attention to massive disorganization in our healthcare system. In an age when nearly everyone is connected digitally in one way or another, the healthcare industry is painfully lagging behind. From EHR implementation to supporting the operational architecture of systems and services, our goal at Boston Software Systems is to
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Automation and the Future of Work: Tackling Healthcare Staffing Challenges

Staffing shortages hit the healthcare industry particularly hard during the pandemic. As we continue to move forward and through additional workforce shortages, hospitals have been forced to halt or scale back critical services. The Great Resignation resulted in many hiring travel nurses, but the financial cost, especially for rural hospitals, was just not sustainable. As
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What is Digital Trust in Healthcare?

Digital trust is the confidence users have in the ability of people, technology, and processes to create a secure digital world. Companies who have demonstrated that they can provide a safe, secure, and reliable data experience, have a high level of digital trust. As digital transformations multiply, they form increasingly complex risks in healthcare organizations.
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Top of Mind Issues Affecting Healthcare CIOs

Healthcare CIOs have spent the last several years coming up with new solutions at warp speed while also dealing with staffing shortages, cybersecurity, new work environments, and ongoing financial struggles. There’s no doubt that teams are experiencing burnout from the demands of employees, leadership, stakeholders, and the speed of digital transformation efforts. COVID-19 is far
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5 Reasons to Use RPA in the Healthcare Revenue Cycle

The impact of COVID-19 is still being felt in healthcare. Coupled with the Great Resignation, hospitals and healthcare organizations are stretched thinner than ever. The American Hospital Association (AHA) stated in a recent analysis that there will be a shortage of up to 3.2 million healthcare workers by 2026. Technologies like Robotic Process Automation (RPA)
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How Healthcare Automation Builds Post-Pandemic Business Continuity

The COVID-19 pandemic placed additional pressure on CIOs to accelerate their digital transformation efforts. The unparalleled demand for services, facilities, staffing, and public health tracking created chaos in healthcare. Critical areas of focus like telemedicine, lab testing, and revenue cycle management required efficient processes be implemented at warp speed. There were no longer continued discussions
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Reducing The Barriers To Interoperability

Interoperability is certainly not a new topic. It is a predominant theme at #HIMSS21, and has been a term of engagement in healthcare for over 20 years. To better understand the impact of data interoperability, Google Cloud recently commissioned The Harris Poll to survey more than 300 physicians across the U.S. Nearly all (95%) of
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Executive Order Tackles Healthcare Price, Transparency, and Competition

Lack of competition is a key reason for President Biden’s executive order, “Promoting Competition in the American Economy.” The proposed order tackles four key areas where a lack of competition in healthcare increases prices and reduces access to quality care: prescription drug costs, hospital consolidation, health insurance choice, and hearing aid access. Among other things,
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Streamlining the Process of Prior Authorizations in Healthcare

From the moment data is entered electronically into a patient chart, the prior authorization process begins. For care to be obtained, prior authorizations have to be identified and submitted with the right codes, approvals, and follow-up. The majority of health plan denials are attributable to prior authorizations, eligibility, and medical necessity rules. Currently, hospitals and
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Prior Authorizations’ Impact on Healthcare

A survey conducted by the American Medical Association (AMA) discussed the impact of prior authorizations on patient care. Out of a sampling of 1,000 physicians, one-third of the respondents stated they have a dedicated staff who work on prior authorizations approximately two business days, or 14 hours, each week with 86% of the physicians surveyed
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Applying The Lessons of Digital Technology in a Post-Pandemic World

Automation has proven to be a digital ally in hospitals and health systems over the last year. The trends around Robotic Process Automation (RPA) were accelerated during the pandemic, and there is no reason to believe the surge in adoption will slow down. Hospital and health system CEOs are leading their organizations by implementing tools
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Boston Software Systems Interview with Brad Cox, Director of Patient Accounting, Northwestern Medicine

When a provider contacts a payer to check a claim status, it takes an average of 14 minutes and costs the provider $7.12. By the time a claim reaches a denied status, the provider has lost at least two weeks. Considering that the time between claims submission and payment can be as long as four
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Does Your Digital Transformation Strategy Include RPA?

Digital transformation refers to improvements in a “digital era.” Healthcare has seen significant strides from digital transformation efforts during the past year. Projects have included a diverse range of solutions, from hosting IT services in the cloud, to creating touchless encounters like telehealth, reducing manual tasks, and improving connectivity across disparate systems. COVID-19 increased the
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How Can a Digital Workforce Address Healthcare’s Challenges?

It’s truly been a year in healthcare, and with it came many changes as a result of the challenges posed by the COVID-19 pandemic. Technology quickly accelerated the adoption of digital health services and solutions like telehealth and RPA, because organizations were in need of tools that could be deployed quickly and easily, without interruption
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