Price Transparency Pushes Forward in 2021
While consumers continue to demand greater value in healthcare, they have very little way of knowing if theyโre getting it. Thatโs because healthcare (payers and providers) โ full of its…
Precarious Problems with Prior Authorizations
Patients and providers alike suffer the pain and financial implications of prior authorizations, also referred to as prior approval, pre-authorizations, or pre-certifications. A red tape-laden approval process required by government…
When it Comes to Payment, Accuracy is Everything
In the consumer world, you pay for what you get. Unfortunately, in healthcare, it doesnโt exactly work that way. The complex world of healthcare billing means that patients and providers…
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…
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