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
Revenue Cycle 101
Ideas, insights + industry updates
A Closer Look at Coding the Social Determinants of Health Risk Assessment
The new HCPCS code G0136 is meant to reimburse healthcare professionals for administrating an assessment of social needs/social risk factors. … Read More
June 10, 2024
Why Revenue Cycle Data Is a Key Differentiator
By mapping to outcomes, revenue cycle data models can yield swift, precise insights precisely when decisions matter most. … Read More
May 29, 2024
What Is a Reference-Based Pricing Plan?
Reference-Based Pricing plans pay based on a benchmark set by an administrator, rather than based on services rendered or value derived. … Read More
May 1, 2024
Tips for Providers Thinking of Going Out of Network
Understanding the implications and implementing a well-thought-out strategy is crucial to providers considering going out of network. … Read More
July 17, 2023
What Is Healthcare Revenue Cycle Management?
Healthcare organizations must fund care they deliver. Healthcare revenue cycle management handles all collection-related tasks. … Read More
July 7, 2023
6 Tips to Ensure Your RCM Partnership Will Go the Distance
In healthcare, RCM is crucial. Learn how to choose the right RCM partner to streamline processes and achieve sustainable financial growth. … Read More
June 28, 2023
What Is a Revenue Cycle Assessment + Why Is It Important to Healthcare Providers?
Assessments are designed to evaluate effectiveness, identify areas for improvement and develop strategies for optimizing the revenue cycle. … Read More
June 16, 2023
RCM Outsourcing Guide: Choosing the Right Partner Is Vital to Your Bottom Line
The right RCM outsourcing partner can impact your bottom line, optimize revenue streams and streamline operations for your organization. … Read More
June 14, 2023
What Is Patient Experience + Why Is it Important to Healthcare Providers?
Physicians, medical staff and organizations are responsible for a positive patient experience. Learn about the benefits this can provide. … Read More
June 2, 2023