Academic medical centers are challenged with balancing their mission while grappling with escalating costs and shrinking revenue streams. … Read More
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Our Approach to Patient Experience
Effective revenue cycle management and effective patient conversations can enhance the patient experience rather than detracting from it. … Read More
How Strategic Partnerships Create a Competitive Advantage for Regional Health Systems
To remain competitive, regional health systems should seek outside expertise in areas where they lack resources and capabilities. … Read More
What Drives Friction Between Providers and Payers?
Delayed or denied payment due to avoidable friction between payers + providers is unsustainable and must be addressed. Here are 3 key causes. … Read More
Supporting Our Clients Against MA Plans’ 340B Inequities
Providers are being ignored by contracted and non-contracted MA plans in their efforts to obtain a remedy for 340B drug underpayments. … Read More
3 Proactive Steps to Counteract Payer Denials and Delays
Receiving accurate, timely reimbursement and reducing unnecessary administrative cost imposed by payers requires a proactive strategy. … Read More
Recent ACA Plan Growth Holds Risks + Opportunities for Providers
Healthcare providers must advocate for the extension of ACA plan enhanced subsidies to protect tenuous financial margins. … Read More
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
An End-to-End RCM Partner Is Not a Traditional Vendor
An end-to-end RCM partner shapes strategy throughout the revenue cycle, while traditional vendors operate at a task level. … Read More
AI in Action: Revenue Cycle Management
There’s great opportunity for AI in healthcare RCM where models can be fine-tuned to reduce friction and more accurately predict outcomes. … Read More