Current Challenges in Revenue Cycle Management

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Greater Patient Responsibility Increases Bad Debt

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Dynamic Payer Policies Result in Increased Denials

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Complex Coding Policies Result in Inaccurate Charge Capture

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Prior Authorization Complexity Delays Treatment

Historically, payers maintained leverage over healthcare providers, leading to sub-optimal financial performance
8-10% gross denial rate of all claims in the U.S.
30% of claims have to be re-submitted, at a rework cost of over $10B annually
Denied and underpaid claims is over $200B/year in the U.S.
Providers have limited visibility into the causes of denials, resulting in delayed payments, increased costs and impact to revenue.
WHY GLIDE HEALTH?

Our Solutions Help

Machine learning models based on hundred of millions of claims across provider and payer types
60% reduction in net denials in specialty practices such as oncology and ophthalmology
90% reduction in claims submission re-work