The new HCPCS code G0136 is meant to reimburse healthcare professionals for administrating an assessment of social needs/social risk factors. … Read More
By mapping to outcomes, revenue cycle data models can yield swift, precise insights precisely when decisions matter most. … Read More
The fraught and evolving dynamics between payers and providers ultimately impact care delivery for patients … Read More
Reference-Based Pricing plans pay based on a benchmark set by an administrator, rather than based on services rendered or value derived. … Read More
State legislatures have already been busy this year. Here are some topics and bills Ensemble experts have been watching closely. … Read More
There’s great opportunity for AI in healthcare RCM where models can be fine-tuned to reduce friction and more accurately predict outcomes. … Read More
Generative AI holds the power to help providers recoup the revenue they need to continue helping patients get the care they deserve.
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Patient satisfaction scores have taken center stage in healthcare, influencing reimbursement rates, patient retention and referrals … Read More
With the increased adoption of ICHRAs, now is the time for providers to proactively rethink their contracting strategies with exchange plans. … Read More
Health plans will be required to meet a prior authorization time frame as short as 72 hours, along with providing reasoning for any denials. … Read More