Why is reconciliation one of the most overlooked sources of revenue leakage?
Reconciliation is one of the most overlooked sources of revenue leakage because many practices assume payments received match billed claims, fail to track underpayments or missed adjustments, and rely on manual processes that overlook discrepancies. Without systematic reconciliation, practices lose revenue through unnoticed payer shortfalls, duplicate postings, and uncollected patient balances, making it a hidden […]
What is reconciliation in healthcare revenue cycle operations?
Reconciliation in healthcare revenue cycle operations is the process of matching payments received from payers and patients against submitted claims and recorded charges to ensure accuracy, completeness, and compliance. It solves problems such as payment discrepancies, missed revenue, duplicate postings, and audit risks by confirming that every dollar billed is accounted for and properly documented. […]