A report from the OIG found some MCOs have unusually high rates of prior authorization denials, with limited or no state oversight. … Read More
In a rapidly shifting industry, here are five areas of focus to help you face healthcare’s future with confidence. … Read More
Lessons learned from providers who have granted direct EMR access to payers. … Read More
Since EMR access is so valuable, we encourage providers to take a thoughtful approach before giving it away without an equitable exchange. … Read More
Medicare Advantage plans have never cost taxpayers less than traditional Medicare, despite that being the entire goal of the program. … Read More
This new rule introduces several key changes that will promote transparency and consistency in healthcare coverage decisions. … Read More
Understanding the implications and implementing a well-thought-out strategy is crucial to providers considering going out of network. … Read More
Healthcare organizations must fund care they deliver. Healthcare revenue cycle management handles all collection-related tasks. … Read More
In healthcare, RCM is crucial. Learn how to choose the right RCM partner to streamline processes and achieve sustainable financial growth. … Read More
Assessments are designed to evaluate effectiveness, identify areas for improvement and develop strategies for optimizing the revenue cycle. … Read More