By Crystal Ewing – Hospitals and physician groups are facing what is perhaps the greatest recent challenge to their bottom lines—the growing portion of the medical bill that is charged to patients.
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By Holly Taylor – As the market responds to continued pressure to reduce healthcare costs – and with costs expected to consume 20% of the US economy by 2020 – the march to value-based care will pick up speed in 2017.
By Crystal Ewing – As the rules and requirements around health insurance continue to increase in complexity, more healthcare providers are beginning to look to clearinghouses to help them improve revenue cycle management (RCM) overall.
By Crystal Ewing – By now you’ve probably heard that one of the outcomes of the passage of MACRA is that CMS will be replacing the old Health Insurance Claim Number with a new, randomly generated Medicare Beneficiary Identification (MBI) code.
By Holly Taylor – With the recent release of the MACRA final rule, CMS confirmed that they remain committed to implementing the legislative requirements in less than 3 months, but did make some provisions to satisfy provider concerns.
By Glenn Krauss – Register for Wednesday’s webinar, Strategies to Improve Denial Management to learn more on managing denial from medical necessity documentation.
By Scott Ablin – Do you have level 3 or 4 inpatient claims that were denied and that you have appealed? If so, you may qualify to partake in the second settlement process with CMS. Register for the MLN Connects National Provider Call.
By Jay Volk – So you’re considering enhancing your organization’s practice management (PM) offering by adding more sophisticated revenue cycle management (RCM) capabilities.
By Glenn Krauss – Managing denials continues to be a thorn in the side of just about every healthcare organization. Traditional approaches to denial management treat the symptom rather than the underlying causes.