There’s lots of noise in any denial data set. Only a fraction have recoverable money. Since reworking each denial costs about $25, it’s critical to identify which denials your staff should spend time on. Analytics will help you figure that … Read more
About Matt Wormser
Matthew Wormser is the Program Manager for Analytics for the Optimization Solutions and Consulting team at GE Healthcare. He has more than 20 years of experience as a senior manager and consultant in the IT and healthcare space, with considerable expertise working with Centricity™ Business clients and software. He has worked extensively with professional billing workflows, EDI and front end processes, and has a particular focus on using analytics to identify performance gaps and drive improved outcomes across the revenue cycle. His client list includes some of the largest and most prestigious healthcare organizations in the United States.
He holds an MBA from Northeastern University, and is a member of the Healthcare Financial Management Association and the Medical Group Management Association. He is a regular presenter at Centricity Live, WRUG, HFMA and other industry conferences.
If your approach to denials management focuses on getting denials reversed, you’ve got it wrong. Because it’s so costly to rework a denial, it’s critical to identify and fix your problems upstream. Here’s how: Use analytics to find patterns. Drill … Read more