Appropriate Use Criteria Program
The Appropriate Use Criteria Program ensures providers who order outpatient imaging services have medical necessity to do so. … Read More
July 25, 2022
Insights
Ideas, insights + industry updates
HHS Wins Supreme Court DSH Payment Case: Impacts Payments for Hospitals Caring for Low-Income Patients
SCOTUS found HHS correctly calculated safety-net payments. Hospitals caring for low-income patients could see payments negatively impacted. … Read More
June 29, 2022
26 Epic Workflows to Optimize Before Considering Bolt-Ons
Make sure you’re leveraging the full power of existing Epic workflows to maximize your investment and improve financial performance. … Read More
June 1, 2022
How to Improve Collections + Enhance Patient Experience
Tips for establishing a pre-service collection program that puts patients first. … Read More
June 1, 2022
Digital Healthcare Leaders Highlight Technology + Innovation at the 2022 Modern Healthcare Summit: 5 Strategic Areas to Watch
A technology-first strategy is critical in healthcare. Are you using your data to identify new growth and cost-savings opportunities? … Read More
May 31, 2022
RPA to AI + Beyond
CTO Grant Veazey compares two leading business efficiency technologies: Robotic Process Automation (RPA) and Artificial Intelligence (AI). … Read More
May 18, 2022
Part 3: The Nuances of Operational Compliance Under the No Surprises Act
Find responses to frequently asked questions about Good Faith Estimates and helpful No Surprises Act-related resources. … Read More
March 8, 2022
Part 2: The Nuances of Operational Compliance Under the No Surprises Act
How to comply with the rules for uninsured or self-pay individuals, including everything you need to know about a Good Faith Estimate (GFE). … Read More
February 23, 2022
REFERENCE / Understanding the No Surprises Act Independent Dispute Resolution Process
Providers initiate the independent dispute resolution process if they think the amount remitted by an out-of-network payer is insufficient. … Read More
February 9, 2022
REFERENCE / No Surprises Act Notice + Consent Requirements Checklist
Under the No Surprises Act, a non-participating/OON provider cannot balance bill patients unless they provide the standard notice and consent. … Read More
February 9, 2022