Insights

Ideas, insights + industry updates

How to Identify, Recover + Resolve Underpayments in Healthcare

Hospitals will leave money on the table if they don’t think holistically about identifying, recovering and resolving underpayments. … Read More

May 16, 2023

How to Avoid the Top 4 RCM Issues Impacting Your Bottom Line

1 in 3 hospitals are expected to continue operating with a negative margin and lose billions due to revenue cycle issues, but there’s hope. … Read More

May 12, 2023

How to Resolve Credit Balances + Improve Patient Experience

Automatically resolving self-pay credits on patient credit balances can mitigate risk while increasing revenue collection and efficiency. … Read More

May 8, 2023

3 Steps for Establishing a Successful Physician Liaison Program

Begin removing barriers and building an effective and proactive communications strategy between pre-access and referring providers. … Read More

May 8, 2023

6 Tips to Starting a Mental Health Movement

Start a movement by using these tips on how to break the stigma and integrate mental health awareness into your organization’s culture. … Read More

May 3, 2023

New Revenue Codes to Be Denied by Cigna Without Corresponding CPT or HCPCS Codes

Cigna added to the list of codes to be denied if billed without a corresponding CPT or HCPCS code starting May 1, 2023. … Read More

May 3, 2023

CMS Final Rule: Changes to the Medicare Advantage Program

Key changes promote transparency in coverage decisions for MA beneficiaries, while ensuring providers can offer the best care for patients. … Read More

May 3, 2023

Cigna Reimbursement Policy Change: Office Notes Required to Bill E/M Service Separate from Same-Day Minor Procedure

New policy states any separately identifiable E/M service performed on the same day as a minor procedure must be submitted with office notes. … Read More

April 10, 2023