Improving Outcomes in Revenue Cycle Management. Module E. Commer
This module explores how the processes surrounding reimbursement can change when dealing with common commercial plans. It begins by looking at the different types of plans, and then explores one big factor in commercial health plans: high deductibles, which can have a significant effect on revenue flow. The module then details different strategies for regarding denials from commercial plans, and how CMs can help hospitals avoid such denials—such as the proper documentation of contracts and data.