Top Trends in Provider-Payer Relationships
We all know Americans spend too much on health care. Per capita estimates for 2017 indicate the US government spend per person is $10,209. Thatโs in addition to what consumers…
Denials, Denied: Moving From Denials Management to Denials Prevention
Denials coming from all payers are steadily increasing. Similarly, denied claims based on โmedical necessityโ related to coding inadequacies are also on the rise. Coding continues to be an increasingly…
Avoiding Credit Balance Crisis โ The Importance of Closely Monitoring for Overpayments
Itโs no secret that healthcare billing is complicated. If youโve ever received a refund from a hospital or physicianโs practice office months after a procedure or visit, thatโs because credit…
Patient Experience & The Revenue Cycle โ Theyโre Much More Connected Than You Think
In the hospital environment, patient satisfaction is no longer a "fluffy," nice-to-have concept for a few customer service representatives to manage. It has transformed into the all-encompassing patient experience and…
How Improving Provider-Payer Relationships Can Drive Quality & Value
The healthcare industry is abuzz with talk of accountable care, population health, and the shift to value-based care.ย And, while itโs a new world for providers and payers alike, thereโs…
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