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Addressing Provider Challenges in the Revenue Cycle

Healthcare leaders are missing critical blind spots that compound denial rates and staffing strain across their operations

By David Kemp · August 30, 2023, 5:00 AM UTCAcclaraDavid KempHealthcare InsightsHighway to Health Podcast
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Key takeaways

01

Coordination of benefits denials are rising and represent a growing blind spot for many provider organizations.

02

Staffing shortages and challenging reimbursement rates are compounding revenue cycle pressures across healthcare.

03

Providers need to step back from daily operations and focus on the broader business picture to address systemic revenue cycle issues.

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.

About the author

David Kemp
David KempHealthcare Lead

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.

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About the Experts

DK
David Kemp

Host, Highway to Health

David Kemp is the host of Highway to Health, a MarketScale podcast and live event series focused on the future of healthcare. He interviews industry leaders and innovators to explore trends, challenges, and solutions across the healthcare landscape. Kemp brings a conversational style that draws out practical insights from his guests.

JT
Jeff Tanner

Director of Consulting

Acclara

Jeff Tanner is Director of Consulting at Acclara, a healthcare revenue cycle management firm. He specializes in identifying and resolving provider challenges including denial management, reimbursement issues, and staffing shortages. Tanner advises healthcare organizations on adopting strategic, big-picture approaches to revenue cycle complexity.