3 RCM Challenges for Specialty Pharmacy in 2021
It’s estimated that 10,000 Baby Boomers are turning 65 each day, leaving pharmacies to absorb and deal with the challenges of providing prescriptive services for a “graying America” while reimbursement […]
5 Areas in Pain Medicine RCM That Deserve Special Attention
Today, pain medicine is faced with falling revenue as patient behavior and insurance company guidelines chip away at the reimbursement you earn in treating patients. To complicate things further, we […]
How Leveraging AI Improves DME Reimbursement
There has been a lot of attention on the patient experience and consumer-centered initiatives in healthcare recently. Hospitals, outpatient facilities, doctors, and DME providers understand that when they can provide […]
Understanding Insurance Discovery — the AI-driven Process
Every healthcare provider or organizational financial representative has experienced the feeling of defeat when reviewing their uncollectible bad debt. Even with the best business practices, ironclad policies, and strong intake […]
Harnessing AI to Improve the Denials Management Process in Radiology
Taking a comprehensive look at the causes of denied claims, you will find that more than half are the result of front-end patient processing, i.e., inaccurate demographics, missing prior authorizations, […]
Optimized Reimbursement With Top-Level Coding Services For A Major Medical Business Organization
Entering the market as a physician billing company in 1981, our client quickly expanded their focus to include a wide range of practice management functions that encompassed operations, facilities management, […]
Smarter Every Time: AI + Machine Learning to Automate Healthcare Transactions
Key Takeaways: When decision-making is more predictive to automate healthcare transactions, it improves outcomes. Organizations with the most extensive data sets produce the most effective machine learning tools to automate […]