The new HCPCS code G0136 is meant to reimburse healthcare professionals for administrating an assessment of social needs/social risk factors.
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Why Revenue Cycle Data Is a Key Differentiator
By mapping to outcomes, revenue cycle data models can yield swift, precise insights precisely when decisions matter most.
Read MoreManaging Payer Friction Through Contract Negotiations
The fraught and evolving dynamics between payers and providers ultimately impact care delivery for patients
Read MoreWhat Is a Reference-Based Pricing Plan?
Reference-Based Pricing plans pay based on a benchmark set by an administrator, rather than based on services rendered or value derived.
Read MoreRevenue Cycle Impacts: 2024 State Legislation
State legislatures have already been busy this year. Here are some topics and bills Ensemble experts have been watching closely.
Read MoreAI in Action: Revenue Cycle Management
There’s great opportunity for AI in healthcare RCM where models can be fine-tuned to reduce friction and more accurately predict outcomes.
Read MoreUnderstanding the Financial and Referral Impact of Patient Satisfaction Scores
Patient satisfaction scores have taken center stage in healthcare, influencing reimbursement rates, patient retention and referrals
Read MoreMaking 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.
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