Patient satisfaction scores have taken center stage in healthcare, influencing reimbursement rates, patient retention and referrals
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Making ICHRA Plans Work for Providers and Patients
With the increased adoption of ICHRAs, now is the time for providers to proactively rethink their contracting strategies with exchange plans.
Read MoreCMS Tightens Prior Authorization Time Frame in Final Rule
Health plans will be required to meet a prior authorization time frame as short as 72 hours, along with providing reasoning for any denials.
Read MoreOpt for Outcomes with End-to-End RCM Vendor Selection
When it comes to selecting the right revenue cycle management (RCM) partner, there are crucial factors beyond cost considerations.
Read MoreRevenue Cycle Managed Services Fill In-House Gaps
By partnering externally for RCM support, organizations gain efficiency, increase agility and are better able to use limited resources.
Read MoreHow to Prevent Burnout During an Electronic Healthcare Record Implementation
There’s no need to go into an EHR implementation unprepared. Having a readiness program in place can help smooth the transition to a new EHR.
Read MoreClarification of the Two-Midnight Rule: A Win for Physician Advisory
The 2024 Medicare Advantage Final Rule clarifies that Medicare Advantage (MA) plans must follow the Two-Midnight Rule set in 2013, and more.
Read More5 Key Focus Areas for Healthcare’s Future
In a rapidly shifting industry, here are five areas of focus to help you face healthcare’s future with confidence.
Read MorePayors Are Pushing for Direct EMR Access. Providers Must Push Back.
Payors adopting EPP are mainly prioritizing connectivity that meets their needs – gaining access to necessary clinical documentation and quality outcomes to adjust risk scores of beneficiaries (and associated government reimbursement) as well as enhance their rankings against other health plans.
Read MoreThe Real Cost of Medicare Advantage Plan Success
Medicare reimbursement rates have never covered the total cost of care, so when MA reimbursement falls below that already-low baseline, hospitals are left to absorb the difference. With rising costs, record inflation and dwindling labor, many hospitals simply can’t afford to cover the difference anymore.
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