How Proactive A/R Follow-Up Improves Practice Revenue
Managing accounts receivable (A/R) is one of the most critical components of a successful revenue cycle. At OptumRCM, we frequently see healthcare practices losing revenue simply because claims are not followed up consistently and strategically. Why A/R Follow-Up Matters Insurance companies may delay, deny, or underpay claims due to documentation gaps, coding issues, or payer-specific […]
Eligibility Verification Best Practices for Faster Payments
Insurance eligibility verification is the foundation of clean medical billing. At OptumRCM, we emphasize accurate eligibility checks to prevent denials, payment delays, and patient billing disputes. Why Eligibility Verification Is Critical Incorrect insurance information can lead to: Best Practices Followed by OptumRCM Our eligibility verification process includes: Technology + Human Review While payer portals and […]
Top Reasons Claims Get Denied — and How to Prevent Them
Claim denials can severely impact a practice’s revenue if not addressed promptly. At OptumRCM, we help healthcare providers identify denial patterns and implement preventive strategies. Common Reasons Claims Get Denied How OptumRCM Helps Prevent Denials Our denial prevention strategy includes: Importance of Denial Management Denied claims must be corrected and appealed quickly. OptumRCM ensures every […]