Results for Medical Billing

All Results

Results 1-7 of 7
  • Blogs, Uncategorized

Why Tribal Health Revenue Cycle Metrics Should Be Different from Standard Hospital KPIs

In 2026 healthcare finance circles, the standard Revenue Cycle Management (RCM) dashboard—measuring Days in A/R, Net Collection Ratios, and Clean Claim Rates—is often seen as a universal indicator of success. These metrics are essential for private health systems. However, for Tribal Health programs under the Indian Self-Determination and Education Assistance ...Read More
Read more
  • Blogs

The 2026 Documentation Cliff: Why FQHCs, CHCs and Tribal Health Must Master the V28 Risk Adjustment Model Now

For Federally Qualified Health Centers (FQHCs), Community Health Centers (CHCs), and Tribal Health organizations, 2026 marks a transformative—and potentially volatile—inflection point in revenue cycle management. The three-year transition from the CMS-HCC Version 24 (V24) model to Version 28 (V28) has reached its final phase. As of January 1, 2026, 100% of ...Read More
Read more
  • Blogs

AI – Enhancing the Future of Medical Billing & Coding

The State of US Hospitals Shrinking profit margins, reducing reimbursement rates and the uncertainties of healthcare reform have made operating a hospital a very risky business. Consolidation of small, rural hospitals into larger system has helped save many struggling hospitals, but others continue to lose money despite their best efforts ...Read More
Read more
  • Blogs

Five-Year Growth Explosion Anticipated for Medical Billing Outsourcing

The administrative costs associated with medical billing outsourcing within a physician practice are becoming unmanageable for independent and major health system affiliated practices alike. A 2018 research study was conducted by experts at Duke University and Harvard designed to examine the administrative costs specific to large academic medical centers using ...Read More
Read more