Why Your Claims Department Needs Better Documentation

With the high turnover rate in healthcare claims departments and the amount of time it takes to fully train new hires, you need quality documentation custom-tailored to your unique business rules, workflows, and organizational structure. This will allow you to bring staff up to speed quickly and to maintain consistent standards throughout all departments, ensuring […]

Healthcare Executives Use AI to Reduce Administrative Burden

According to the following MCOL infographic, 23% of the healthcare executives that were surveyed stated that the greatest opportunity provided by Artificial Intelligence (AI) is that it reduces their administrative burden. SymKey® clients have been using AI to automate their healthcare claims processing since 2002. Robotic Process Automation (RPA) allows payers to process more claims […]

Are You Still Processing Claims by Hand?

Processing your claims manually is like washing laundry by hand. Sure, it works. But why would you do it manually when you can use a machine to do the same work both faster and more accurately? SymKey® can handle your boring, mundane work, because I’m sure you have better things to do! Just load your […]

Determining the Success of the HITECH Act

Guest post by Definitive Healthcare After nearly seven years since the $35 billion HITECH Act was passed, some look at the slow pace of Meaningful Use, the relatively poor interoperability of EHR systems, and the physician workflow complaints and ask, “What has it actually accomplished?” A new study performed by Mathematica Policy Research and presented […]

Reining in Hospital Supply Costs and Physician Preference Item Spending

Guest post by Definitive Healthcare Supply costs are a primary target of healthcare organizations looking to optimize their operations. Unlike labor and overhead expenses, medical and surgical supply spending is more discretionary and has less immediate impact on clinical care or capacity. In addition, supplies are an increasingly large component of healthcare spending, with the […]

How to Improve Access by Focusing on Patient Experience

There’s a major debate about access to healthcare for all Americans. Indeed, this is at the heart of solving our national healthcare dilemma. Physicians understand that getting medical care to people promptly, when they need it, can prevent catastrophic events and is also an effective way to make care more affordable. The longer we hold […]

Is Comprehensive Community-Based Population Health the Future of Healthcare?

Guest post by Definitive Healthcare As hospitals have embraced value-based healthcare over the past several years, many observers have noticed that quality outcomes depend not only on medical treatment, but also on positive socioeconomic factors. A patient with stable housing and employment as well as access to healthy food is more likely to be in […]

Are Today’s Providers Overwhelmed by Quality Reporting?

Guest post by Definitive Healthcare In today’s healthcare delivery environment, few concerns are as important to providers, payers, and consumers as quality. Quality scores can drive patients towards or away from hospitals and doctors, determine reimbursement rates, and subject organizations to a wide range of government incentives or penalties. Most would agree that quality measurements […]

Health Care Should Be Treated as an Investment

Regardless of your stance on the future of healthcare, one thing most of us can agree on is that we need to think of healthcare as an investment for payers, providers, and patients. While a focus on profit certainly should not be the primary driver, money does matter because we have to pay for health […]

Instituting True Risk-Based Payments

In a time where many in this nation are confused about the direction of health care, we look toward the future. Regardless of the design one thing is clear, we need more accountability in health care. There still isn’t a clear understanding of risk-based contracting in the healthcare industry. This value-based payment model is inevitable […]