Modernizing the Healthcare Revenue Cycle with Integrity
Ensemble delivers unparalleled RCM efficiency, data integrity + financial optimization to clients through strategic partners like Databricks.
September 19, 2024
Published monthly on LinkedIn.
Ensemble delivers unparalleled RCM efficiency, data integrity + financial optimization to clients through strategic partners like Databricks.
Pre-payment review means you must submit medical records with each affected claim before the payer will agree to pay or adjudicate claims.
An end-to-end RCM partner shapes strategy throughout the revenue cycle, while traditional vendors operate at a task level.
Many bills have been pending in state legislatures. Let’s take a look at what’s been recently enacted in three of those states.
How to determine if an RCM assessment is right for you and how to select the right partner.
See why future-focused healthcare leaders view the revenue cycle as a value driver, not a cost center.
The new HCPCS code G0136 is meant to reimburse healthcare professionals for administrating an assessment of social needs/social risk factors.
By mapping to outcomes, revenue cycle data models can yield swift, precise insights precisely when decisions matter most.
The fraught and evolving dynamics between payers and providers ultimately impact care delivery for patients
Reference-Based Pricing plans pay based on a benchmark set by an administrator, rather than based on services rendered or value derived.
State legislatures have already been busy this year. Here are some topics and bills Ensemble experts have been watching closely.
There’s great opportunity for AI in healthcare RCM where models can be fine-tuned to reduce friction and more accurately predict outcomes.