
Top 5 Payer Trends Impacting Reimbursement
Ensemble’s experts break down the top 5 macro-trends you need to know about to avoid underpayments, denials and impacts on patient volume.
Published monthly on LinkedIn.

Ensemble’s experts break down the top 5 macro-trends you need to know about to avoid underpayments, denials and impacts on patient volume.

One key change in CMS’ 2022 Medicare OPPS/ASC proposed rule is the reversal of last year’s initiative to eliminate the inpatient-only list.

It’s important to understand you may be asked to use your skillset outside of your role to contribute to the success of your organization.

Ensuring a positive patient experience means not talking about financial obligations or payments upfront, right? Wrong.

See how Bon Secours Mercy Health improved collections with a patient-friendly program.

Unbilled Management combines discharged not final billed + discharged not final submitted, while relying on strong cross-departmental effort.

Physician Advisor STAtus (PASTA): a recipe for changing the culture of physician-to-physician communication in Utilization Management.

Procedures added or deleted from the Inpatient-Only List directly impact the financial health of hospitals.

Hierarchical Condition Category (HCC) coding is the risk adjustment model used by CMS to determine future care costs for a specific patient.

Accurate documentation of medical necessity leads to an improved patient experience and sound clinical and financial outcomes.

Here are 5 steps you can take now to be the difference, drive positive associate engagement and achieve exceptional organizational results.

The higher the level of employee engagement, the more willing employees are to deliver an outstanding patient experience.
By clicking “Accept”, you agree to our use of cookies, pixels and other tracking technologies (“cookies”) to collect information about you, your device and how you interact with our site. We may use such information and/or disclose it to third parties for purposes such as analytics, security and advertising. For more information, please see our privacy policy. You can reject or customize our use of non-essential cookies by clicking the “Reject” or “Preferences” buttons.
Certain cookies are essential to the operation of our website and cannot be turned off. To decide which other cookies to allow, please select from the options below and then click “Save and Close.” Further information can be found in our cookie policy.
Essential cookies enable basic functions and are necessary for the proper function of the website.
Statistics cookies collect information anonymously. This information helps us understand how visitors use our website.
Google Analytics is a powerful tool that tracks and analyzes website traffic for informed marketing decisions.
Service URL: policies.google.com (opens in a new window)
Marketing cookies are used to follow visitors to websites. The intention is to show ads that are relevant and engaging to the individual user.
Google Ads is an online advertising platform that enables businesses to create targeted ads displayed on Google search results and partner sites.
Service URL: policies.google.com (opens in a new window)
Google Tag Manager simplifies the management of marketing tags on your website without code changes.
Service URL: (opens in a new window)
You can find more information in our Privacy Policy