Supporting Our Clients Against MA Plans’ 340B Inequities
Providers are being ignored by contracted and non-contracted MA plans in their efforts to obtain a remedy for 340B drug underpayments. … Read More
November 13, 2024
Insights
Ideas, insights + industry updates
3 Proactive Steps to Counteract Payer Denials and Delays
Receiving accurate, timely reimbursement and reducing unnecessary administrative cost imposed by payers requires a proactive strategy. … Read More
November 5, 2024
Recent ACA Plan Growth Holds Risks + Opportunities for Providers
Healthcare providers must advocate for the extension of ACA plan enhanced subsidies to protect tenuous financial margins. … Read More
October 1, 2024
Whistleblower Program Incentivizes Reporting of Healthcare Fraud
A new corporate whistleblower program incentivizes reporting of healthcare fraud involving private insurance plans. … Read More
September 30, 2024
Modernizing the Healthcare Revenue Cycle with Integrity
Ensemble delivers unparalleled RCM efficiency, data integrity + financial optimization to clients through strategic partners like Databricks. … Read More
September 19, 2024
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
September 6, 2024
An End-to-End RCM Partner Is Not a Traditional Vendor
An end-to-end RCM partner shapes strategy throughout the revenue cycle, while traditional vendors operate at a task level. … Read More
August 29, 2024
Tracking Recently Enacted State Laws That Impact the Revenue Cycle
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
July 29, 2024
The Ultimate Guide to Revenue Cycle Assessments
How to determine if an RCM assessment is right for you and how to select the right partner. … Read More
July 8, 2024
Examining the Decision to Outsource
See why future-focused healthcare leaders view the revenue cycle as a value driver, not a cost center. … Read More
June 18, 2024