Three Significant Values in Outsourcing Your Revenue Cycle Management
The decision to outsource your revenue cycle management (RCM) functions can be stressful and complicated, impacting staff, patient flow, and, ultimately the bottom line. RCM, including medical coding, medical billing, […]
Innovative Solutions for the RCM Lifecycle in Sleep Medicine
Industry-wide, sleep medicine groups are impacted by an onslaught of changing governmental regulations, insurance payer modifications, and transitioning patient expectations. Our evaluation of the revenue cycle management (RCM) process points […]
Addressing the Hospital Prior Authorization Burden
Addressing the Hospital Prior Authorization Burden With the insurance industry unrelenting on reducing or streamlining the prior authorization process, hospitals and healthcare systems continue to struggle with the operational implications […]
How Augmented Intelligence Solves the Prior Authorization Revenue Bottleneck for Orthopedic Practices
With an estimated 182 million prior authorization transactions processed per year, according to MGMA, it is easy to see where issues are bound to arise related to the sheer volume. […]
Has COVID-19 Helped to Improve Payer-Provider Cooperation? 3 Areas Where Automation Proved Essential
Though no one initially anticipated it, COVID-19 has brought innovation and collaboration throughout the healthcare industry and accelerated the adoption of high-tech solutions much more quickly than expected. In the […]
Is There a Tradeoff in the Healthcare Revenue Cycle Between Amount and Speed of Collections?
As we near the last quarter of 2020, the healthcare system has gone through shock waves from the COVID-19 pandemic, not the least of which is the financial tsunami with […]
Essential RCM Solutions for a Pain Medicine Practice’s Payment Lifecycle
Executive Summary Industry-wide, pain medicine practices are impacted by an onslaught of changing governmental regulations, insurance payer modifications, and transitioning patient expectations. Our evaluation of the revenue cycle management (RCM) […]
A Fresh Look at the Appeals Process in Denials Management: Automated Appeals
Key Takeaways: According to the MGMA, 50% to 65% of denials are never worked, leaving earned money on the table. With an automated appeals process, ARs are optimized through an […]
Tame Prior Authorizations in PT and OT
With the insurance industry unrelenting on reducing or streamlining the prior authorization process, Physical Therapy and Occupational Therapy (PT and OT) practices continue to struggle with the operational implications of […]