Every thriving healthcare organization recognizes revenue cycle management (RCM) as its financial backbone. Despite this, many healthcare institutions are grappling with financial challenges. With continually rising costs, margins have been…
The healthcare industry has undergone significant changes in recent years, with notable evolution in medical coding, advancing from ICD-10 to ICD-11. With the shift from ICD-10 to the more advanced…
According to AKASA survey respondents, revenue cycle leaders have identified the costliest tasks in healthcare – Denials Management and Prior Authorizations, rated as the 75% and 60% most time-consuming tasks,…
A healthy revenue cycle is the most critical aspect of any business. In the healthcare industry, maintaining a margin can be incredibly challenging because of its highly regulated environment. The…
Medicare Advantage (MA) risk adjustment (RA) relies on strong connections between members, providers, and payers, accurate coding, and detailed data submissions. It is a process that continues to evolve to…
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