May 2023 – Ensemble Health Partners

How to Identify, Recover + Resolve Underpayments in Healthcare

Hospitals will leave money on the table if they don’t think holistically about identifying, recovering and resolving underpayments.

1 in 3 hospitals are expected to continue operating with a negative margin and lose billions due to revenue cycle issues, but there’s hope.

Automatically resolving self-pay credits on patient credit balances can mitigate risk while increasing revenue collection and efficiency.

Begin removing barriers and building an effective and proactive communications strategy between pre-access and referring providers.

Start a movement by using these tips on how to break the stigma and integrate mental health awareness into your organization’s culture.

Cigna added to the list of codes to be denied if billed without a corresponding CPT or HCPCS code starting May 1, 2023.

Key changes promote transparency in coverage decisions for MA beneficiaries, while ensuring providers can offer the best care for patients.

Actions taken by leaders to support strategy, processes or systems demonstrate the focus on the greatest resource: people.

There are two key requirements for this movement: Leaders to drive it and elimination of the stigma that often surrounds mental health.