Learning

POSTED September 26, 2022
By Jordan Levitt, President & CEO

By definition, a curator is one whose role is to acquire, care for, and develop a collection, and in Wave HDC’s case, the collection is data.

POSTED August 01, 2022
By Keith Truax, Chief Financial Officer

Have you ever considered assigning the categories of “best,” “better,” and “worst” to claims? The “best” claim is the one that never existed, and the “better” claim is the one easily denied due to a plethora of rules. The “worst” claim is the one that is complete, accurate, and timely. That’s the perspective some of our colleagues in the industry take and one Wave HDC seeks to challenge. With our comprehensive data curation and revenue cycle management solutions, we not only ensure clean and accurate data, support connectivity across systems, and enable the care continuum but also focus on claim denial prevention.

POSTED November 28, 2022
By Dean Paluch, Chief Revenue Officer

In its 2021 joint poll, the MGMA (Medical Group Management Association) and Change Healthcare reported that 69% of healthcare leaders surveyed reported an increase in claims denials. Ironically, the upward trend cites the traditional root causes. The survey concluded that three of the top four issues were tied to front-end workflows (e.g. registration, eligibility) and accounted for 50% of denials.

POSTED January 11, 2023
By Keith Truax, Chief Financial Officer

Stewardship, by definition, means the careful and responsible management of something entrusted to one’s care. As financial stewards of the organizations we serve, it is our utmost responsibility and one to be performed with all the energy and discipline we can muster.

POSTED November 30, 2022

Studies show that more than 50% of all lab tests are still processed on paper. While health systems and large national laboratories typically use software that enables the electronic transfer of lab orders and results, small to mid-sized labs still overwhelmingly rely on paper and fax machines, with the assumption that automation is too expensive. But do they know the actual cost of all that paper?

POSTED March 01, 2023
By David Figueredo, Chief Operating Officer

According to a 2020 Kaiser Foundation study, 17% of claims are denied with 50% of providers in the southeast and mid-west experiencing 20-30% denials rates according to CMS Transparency data published in 2021. While denials can be the result of a wide range of procedural and informational issues, a prevalent theme as one looks at the data is that nearly 50% of denials can be associated with registration and coordination of benefit reason categories.

POSTED August 08, 2023

In today's competitive and evolving healthcare revenue cycle management environment, RCM business leaders must make strategic decisions that generate growth and increase efficiency in a cost-conscious manner amidst a complicated, fluid labor market – not exactly the easiest job description in the world. Sometimes, hard jobs lead to selecting ‘easy’ solutions.

POSTED August 21, 2023

In the rapidly-evolving landscape of healthcare, the roles of hospital CFOs and CROs have never been more crucial. Their decisions and strategies directly influence the financial health of their institutions. One area that has increasingly demanded their attention is the realm of fast discovery and eligibility in revenue cycle management (RCM). This series aims to shed light on this critical aspect, offering insights into its challenges and the transformative potential of AI-powered and machine-learning solutions.

POSTED August 29, 2023

The role of a hospital CFO or CRO constantly evolves, especially in the field of revenue cycle management (RCM). With the complexities of medical billing, insurance claims, and patient payments, managing the revenue cycle can be a daunting task. Enter AI-powered real-time COB (Coordination of Benefits) and Insurance Discovery software.

POSTED September 05, 2023

Coordination of Benefits (COB) is a crucial aspect of revenue cycle management. With patients often having multiple insurance policies, ensuring that each policy pays its share is vital. Here's how AI-powered COB curation solutions can make a difference.

POSTED September 12, 2023

Medical billing is at the heart of revenue cycle management. With the right partner and platform, hospitals can ensure accurate billing, timely payments, and reduced claim denials.

POSTED September 19, 2023

The relationship between hospitals and insurance payers is crucial in revenue cycle management. With the right RCM solution, this relationship can be strengthened, ensuring timely payments and reduced claim denials.