Deep Dive: Is Your Practice in the Pre-Payment Review ‘Penalty Box’?
Pre-payment review means you must submit medical records with each affected claim before the payer will agree to pay or adjudicate claims. … Read More
September 6, 2024
What Is a Reference-Based Pricing Plan?
Reference-Based Pricing plans pay based on a benchmark set by an administrator, rather than based on services rendered or value derived. … Read More
May 1, 2024
Payors Are Pushing for Direct EMR Access. Providers Must Push Back.
Since EMR access is so valuable, we encourage providers to take a thoughtful approach before giving it away without an equitable exchange. … Read More
August 9, 2023
The Real Cost of Medicare Advantage Plan Success
Medicare Advantage plans have never cost taxpayers less than traditional Medicare, despite that being the entire goal of the program. … Read More
August 9, 2023