A well-established multi-speciality hospital in California was struggling with inefficiencies in its Revenue Cycle Management (RCM). Despite having a strong patient base and skilled medical professionals, the hospital faced challenges such as:
- High claim denials due to coding errors and incomplete documentation
- Delayed reimbursements from payers
- Increased administrative workload for in-house staff
- Revenue leakage from underpayments and untracked claims
These issues not only affected the hospital’s financial health but also strained its operational efficiency, reducing the focus on patient care.
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