Addressing Provider Challenges in the Revenue Cycle
Host David Kemp speaks with Jeff Tanner, Director of Consulting at Acclara, about the compounding challenges providers face in the healthcare revenue cycle. The conversation covers escalating denial rates — particularly coordination of benefits denials — difficult reimbursement environments, and staffing shortages. Tanner stresses that providers must look beyond day-to-day operations and adopt strategic, expertise-driven approaches to manage these issues effectively.
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Key takeaways
Coordination of benefits denials are rising and represent a growing blind spot for many provider organizations.
Staffing shortages and challenging reimbursement rates are compounding revenue cycle pressures across healthcare.
Providers need to step back from daily operations and focus on the broader business picture to address systemic revenue cycle issues.
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On Highway to Health, host David Kemp sits down with Jeff Tanner, Director of Consulting at Acclara, to address provider challenges in the revenue cycle. Their conversation spotlights recurring issues, from escalating denials and challenging reimbursement rates to staffing shortages. Tanner highlights the intricacies of denials, especially the coordination of benefits denials that have become more common. He also emphasizes the importance of providers focusing on their business's broader picture, not just day-to-day operations, to tackle these challenges effectively.
Providers focusing on their business's broader picture, not just day-to-day operations, to tackle these challenges effectively.
This episode underscores the value of tapping into expertise and adopting forward-thinking strategies to navigate the healthcare revenue cycle’s complexities.
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About the author
With experience in coaching college basketball, supporting large healthcare systems through ICD-10, to now leading the healthcare vertical at MarketScale, David enjoys the journey. Craving knowledge is one of David's core values, and he has the opportunity to learn from some of the best as host of the Highway to Health podcast series.
