Nemadji Blog
Explore expert tips and industry insights. Stay updated with the latest trends and inspiring stories.
- September 18, 20263 min. to read
How Missed Insurance Coverage Contributes to Revenue Leakage in Healthcare
Hospitals spend enormous amounts of time and resources managing revenue leakage, yet they still lose tens of billions of dollars to leakage annually. They monitor denials, investigate underpayments, work aging A/R, appeal claims, correct billing errors, and look for opportunities to improve reimbursement. Some of the heaviest hitters in the financial loss category according to… - September 17, 20263 min. to read
Five Reasons Hospitals Miss Billable Coverage—and Why a Second Look Matters
Hospitals work hard to capture accurate insurance information. Registration teams verify coverage, eligibility is checked, patient demographics are collected and updated. And yet, missed insurance coverage can still create billable revenue opportunities that never make into the revenue cycle. The problem isn't always that the information wasn't available. Sometimes, it wasn't reported. Sometimes, it was… - August 20, 20263 min. to read
Insurance Discovery: The Second Layer of Coverage Detection
Healthcare organizations have invested heavily in processes designed to identify and verify insurance coverage. Registration teams collect insurance information. Eligibility tools verify coverage. Financial clearance workflows help determine whether an account is ready for billing. Those processes are essential. But there is an important question revenue cycle leaders should ask: What happens when the first… - June 3, 20263 min. to read
Strengthen Your Revenue Cycle, Protect Your Mission
Safety net hospitals carry the heaviest burden—and deserve solutions built for the realities of high-acuity, under-insured, and complex patient populations. Safety net hospitals operate at the intersection of high need and limited reimbursement. - May 21, 20253 min. to read
Case Study: What A Difference A Year Makes
AnMed is a dynamic, comprehensive health system in Anderson, South Carolina. AnMed provides healthcare for residents of eight counties in upstate South Carolina and northeast Georgia. - May 21, 20253 min. to read
The End of the Public Health Emergency
In honor of National Patient Account Management (PAM) Week, Nemadji is taking nominations to recognize outstanding patient account management staff. - September 11, 20243 min. to read
Case Study: Cause Reports + Increased ROI
A regional non-profit health system in the southeast needed a change. Comprised of one small and one large hospital, the system had partnered with an insurance discovery vendor in the past and while they were efficient enough, they lacked in-depth reporting and required staff to access their system to obtain and transfer information back to… - April 3, 20243 min. to read
Nemadji CEO Tony Lourey Appointed as Chair of the Newly Formed Minnesota Prescription Drug Affordability Board
Minnesota is the seventh state to establish a board to assess prescription drug affordability. Following in the footsteps of Colorado, Maine, Maryland, New Hampshire, Oregon and Washington, Minnesota has established a Prescription Drug Affordability Board (PDAB). - April 26, 20233 min. to read
Interpreting Medical Bills In Real Life
Medical billing is overwhelming and complex for patients. According to a recent public opinion survey, 72% of consumers are confused by their medical bills. - April 3, 20233 min. to read
The End of the Public Health Emergency
The expiration date of the public health emergency is currently set for May 11, the senate recently passed a resolution that may result in an earlier end date. There is still a high level of uncertainty about the affects will be for hospitals.
