Receiving accurate, timely reimbursement and reducing unnecessary administrative cost imposed by payers requires a proactive strategy. … Read More
BLOG
An Open Letter on UnitedHealthcare’s Line Item Denials Policy
UHC’s line item denials policy raises more questions than answers and significant concerns for our healthcare partners and their patients. … 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
How to Prevent Burnout During an Electronic Healthcare Record Implementation
There’s no need to go into an EHR implementation unprepared. Having a readiness program in place can help smooth the transition to a new EHR. … Read More
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
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
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