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Insurance Billing


Unlocking Revenue Potential: The Strategic Advantage of Payor Contract Consultants
In the intricate landscape of healthcare reimbursement, the terms of payor contracts serve as the foundation for a provider's financial...
2 min read


Achievable Goals for Revenue Cycle Teams in 2025
As healthcare organizations face an increasingly dynamic environment, setting clear, achievable goals for revenue cycle teams is...
2 min read


2024 Revenue Cycle Management Insights: A Review of the First Three Quarters
As we near the end of 2024, the landscape of healthcare revenue cycle management (RCM) continues to evolve at a rapid pace. The first...
4 min read


Avoiding Common Mistakes in Insurance Billing and Coding
In the complex world of family practice, accurate insurance billing and coding are critical to maintaining a healthy revenue cycle....
4 min read


2024's Latest CPT Codes and Modifiers in Oncology: What Revenue Cycle Management Companies Need to Know
As advancements in oncology continue to evolve, so too do the coding practices that ensure proper billing and reimbursement for cancer...
3 min read


Best Practices for Healthcare Organizations: Contacting Insurance Payors on Unpaid Claims
Managing the revenue cycle efficiently is critical for healthcare organizations. One of the most challenging aspects of this process is...
3 min read


Navigating New Reimbursement CPT Codes and Modifiers: A Guide for Health Systems
The landscape of medical billing and reimbursement is continually evolving, with new Current Procedural Terminology (CPT) codes and...
3 min read


Fostering Collaboration Between Clinical and Revenue Cycle Teams: Ensuring Accurate Documentation, Coding, and Billing Practices
Collaboration between clinical and revenue cycle teams is not just beneficial – it's imperative. The seamless interaction between these...
3 min read


Understanding the Top Reasons for Insurance Billing Denials in Healthcare Facilities
Insurance billing denials are a persistent challenge that healthcare facilities face. These denials can disrupt cash flow, delay...
2 min read


Ensuring Scalability in Healthcare Organizations with Third-Party Assistance in Insurance Follow-up and Patient Pay Receivables
The efficient management of revenue cycle teams is integral for the sustenance and growth of healthcare organizations. One significant...
3 min read


Ensuring Excellence: A Core Competency Checklist for Healthcare Revenue Cycle Staff
Managing revenue cycles efficiently is paramount for the sustainability of healthcare organizations. Revenue cycle staff play a vital...
2 min read


Maximizing Resources: The Strategic Approach of Balancing In-House & Outsourced Insurance Follow-Up
In the intricate realm of healthcare revenue cycle management, hospitals are faced with the continuous challenge of efficiently managing...
3 min read


Enhancing Efficiency & Ensuring Accuracy: The Case for Third-Party Insurance Follow-Up Verification
In the intricate world of healthcare, managing the complexities of insurance follow-up verification is a critical aspect of ensuring a...
3 min read


Transforming Finances: The Role of Artificial Intelligence in Hospital Revenue Cycle Management
In the ever-evolving landscape of healthcare, hospital revenue cycle management (RCM) is witnessing a paradigm shift fueled by...
3 min read


Navigating the Revenue Cycle Landscape: Recapping Patient Payments in 2023
The landscape of healthcare revenue cycle management has undergone significant transformations in recent years, with a notable focus on...
2 min read
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