7 RADV Audit Changes You Canโt Afford to Forget
No one likes an audit. And simply put, the recent RADV changes have only raised the stakes. Your organization is facing greater scrutiny, greater financial risk, and more audits. You…
The Impact of Value-Based Care on Medical Billing
Healthcare continues shifting from fee-for-service (FFS)โwhere revenue aligns with volumeโtoward value-based care (VBC), where payment hinges on quality, outcomes, and patient experience. This transformative model demands significant documentation, coding, and…
The Cost of Staffing Shortages in Revenue Cycle Management
Revenue Cycle Management (RCM) is the backbone of healthcare finance. It covers the journey from patient registration and insurance verification to medical coding, claims submission, and collections. When it runs…
The ROI of Outsourcing Medical Billing for Tribal Health Organizations
Tribal Health Centers (THCs) face a uniquely complex billing environment. With diverse payer types, federal and tribal regulations, and limited staffing resources, even small inefficiencies can result in significant revenue…
How to Survive Staffing Shortages Without Losing Sleep (Thanks to Automation in RCM)
You walk into the office, grab your coffee, andโbam. Another team member is out. Again. Whether itโs a better job offer or just life happening, youโre left scrambling to plug…