Deep Dive: Is Your Practice in the Pre-Payment Review ‘Penalty Box’?
Pre-payment review means you must submit medical records with each affected claim before the payer will agree to pay or adjudicate claims. … Read More
Pre-payment review means you must submit medical records with each affected claim before the payer will agree to pay or adjudicate claims. … Read More
An end-to-end RCM partner shapes strategy throughout the revenue cycle, while traditional vendors operate at a task level. … Read More
Many bills have been pending in state legislatures. Let’s take a look at what’s been recently enacted in three of those states. … Read More
See why future-focused healthcare leaders view the revenue cycle as a value driver, not a cost center. … Read More
The new HCPCS code G0136 is meant to reimburse healthcare professionals for administrating an assessment of social needs/social risk factors. … Read More
By mapping to outcomes, revenue cycle data models can yield swift, precise insights precisely when decisions matter most. … Read More
The fraught and evolving dynamics between payers and providers ultimately impact care delivery for patients … Read More
Reference-Based Pricing plans pay based on a benchmark set by an administrator, rather than based on services rendered or value derived. … Read More
State legislatures have already been busy this year. Here are some topics and bills Ensemble experts have been watching closely. … Read More
There’s great opportunity for AI in healthcare RCM where models can be fine-tuned to reduce friction and more accurately predict outcomes. … Read More
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