Revenue 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 More
January 10, 2024
Insights
Ideas, insights + industry updates
OIG Increases Scrutiny on Medicare Advantage Coding
Federal agencies are scrutinizing Medicare Advantage coding with inaccurate diagnoses for enrollees with certain high-risk diagnoses. … Read More
October 27, 2023
How 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 More
October 27, 2023
Clarification 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 More
October 25, 2023
Congress Investigates OIG Report That Medicaid MCOs Deny Prior Authorizations at Higher Rates
A report from the OIG found some MCOs have unusually high rates of prior authorization denials, with limited or no state oversight. … Read More
October 3, 2023
5 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 More
October 3, 2023
Providers Should Push Back Against Direct EMR Access for Payers
Lessons learned from providers who have granted direct EMR access to payers. … Read More
August 29, 2023
Payers Are Pushing for Direct EMR Access. Providers Must Push Back.
Since EMR access is so valuable, we encourage providers to take a thoughtful approach before giving it away without an equitable exchange. … Read More
August 9, 2023
The Real Cost of Medicare Advantage Plan Success
Medicare Advantage plans have never cost taxpayers less than traditional Medicare, despite that being the entire goal of the program. … Read More
August 9, 2023
2024 Medicare Advantage Program Changes: What You Need to Know
This new rule introduces several key changes that will promote transparency and consistency in healthcare coverage decisions. … Read More
July 18, 2023