Find clarity.

Get insights on how to improve your financial performance while providing a more transparent patient experience.

Thank you! Your submission has been received!

Oops! Something went wrong while submitting the form.

Healthcare Policy

Patient-Provider Dispute Resolution (PPDR) in the No Surprises Act [Full Guide]

Rex H.

Updated:

Published: Oct 12, 2022

Healthcare Policy

Current Policies for Prior Authorization: Why They’re Likely Changing in 2023

Rex H.

Updated:

Published: Mar 20, 2023

Learn about current policies for prior authorization and what proposals are on the table to change them in 2023.

Revenue Cycle Management

Revenue Cycle Management Outsourcing: Pros, Cons, & Alternatives

Rex H.

Updated:

Published: Mar 13, 2023

Discover the benefits and drawbacks of outsourcing revenue cycle management. Learn about costs, top companies, and alternatives to consider.

Best Practice Management Software: 22 PM Systems for Providers

Healthcare Technology

Best Practice Management Software in 2023: 22 PM Systems Compared

Rex H.

Updated:

Published: Mar 08, 2023

We’ve ranked the 22 best practice management software in order of aggregated ratings from G2, Capterra, and SoftwareAdvice. Compare PM systems and find the one that is best for your organization.

Revenue Cycle Management

CRCR Certification: What RCM Specialists Need to Know

Rex H.

Updated:

Published: Mar 03, 2023

Learn about HFMA's Certified Revenue Cycle Representative (CRCR) certification and how it can benefit your healthcare organization's revenue cycle management. This article covers everything from what it is, who it's for, how to become certified, and its costs.

Revenue Cycle Management

Revenue Cycle Management Strategies in 2023

Rex H.

Updated:

Published: Feb 27, 2023

Learn about 8 trends that require new revenue cycle management strategies in 2023 and how to navigate them.

Healthcare Policy

Abbreviated Good Faith Estimate for No-Cost Healthcare: Requirements & Template

Rex H.

Updated:

Published: Feb 22, 2023

Learn the requirements and get the template for the abbreviated good faith estimate that is designed for no-cost healthcare services.

Revenue Cycle Management

Value-Based Contracting: A Comprehensive Guide

Rex H.

Updated:

Published: Feb 16, 2023

Learn all about value-based contracting - the types, benefits, examples, and methods that are being used to increase provider participation.

Healthcare Policy

HCPCS Codes: Everything You Need to Know

Rex H.

Updated:

Published: Feb 14, 2023

Learn the ins and outs of HCPCS codes - from modifiers to recent No Surprises Act regulations - in our free guide.

Revenue Cycle Management

Revenue Cycle Management in Healthcare: A Guide for Providers

Rex H.

Updated:

Published: Feb 08, 2023

Get a complete understanding of revenue cycle management, from the primary stages to the latest advancements in 2023, with our free guide.

Revenue Cycle Management

Underpaid Claims in Healthcare: What Providers Need to Know

Rex H.

Updated:

Published: Feb 06, 2023

Learn about underpaid claims in healthcare, how to detect them, and strategies for prevention in this article.

Healthcare Technology

Healthcare Contract Modeling Software: Getting the Upper Hand With Payers

Rex H.

Updated:

Published: Feb 03, 2023

Discover the benefits of using contract modeling software. Learn about the features and KPIs you can model to track payer performance and gain leverage in negotations.

Revenue Cycle Management

CARC and RARC Codes in Claims Management

Rex H.

Updated:

Published: Feb 01, 2023

Get an in-depth understanding of CARC and RARC codes in claims management. Discover the key differences, top 10 CARCs, and new RARCs for the No Surprises Act.

Revenue Cycle Management

Bad Debt in Healthcare: How to Reduce

Rex H.

Updated:

Published: Jan 30, 2023

Learn about the impact of bad debt in healthcare and strategies for managing it effectively. Get insights on how to reduce losses and improve financial stability.

Healthcare Policy

ASP Drug Pricing in Healthcare: What Providers Need to Know in 2023

Rex H.

Updated:

Published: Jan 27, 2023

Learn about ASP drug pricing in healthcare and how it's been impacted by the Inflation Reduction Act.

Revenue Cycle Management

DNFB in Healthcare: How to Improve this Key Revenue Cycle Metric

Rex H.

Updated:

Published: Jan 25, 2023

Understand the impact of high DNFB in healthcare, causes, & best practices to improve. Learn how to take control of this key metric now.

Healthcare Policy

IDR Administrative Fees: What’s Changed in 2023

Rex H.

Updated:

Published: Jan 23, 2023

An increase in IDR administrative fees is in effect as of January 1, 2023. Learn why they were increased and what's been proposed to make it more balanced for providers.

Revenue Cycle Management

Medicare Credit Balance Report Due Dates 2023

Rex H.

Updated:

Published: Jan 20, 2023

Stay on top of your Medicare credit balance report due dates for 2023. Learn when to submit form CMS-838 now.

Healthcare Technology

Healthcare Price Transparency Companies: How They Can Benefit Your Practice

Rex H.

Updated: Jan 17, 2023

Published: Jan 17, 2023

Discover how healthcare price transparency companies can benefit your practice by improving financial performance and patient satisfaction. Learn more now.

Healthcare Policy

All-Payer Claims Databases and the No Surprises Act: What You Need to Know

Rex H.

Updated:

Published: Jan 13, 2023

Get informed on the latest about All-Payer Claims Databases (APCDs) and how they relate to the No Surprises Act. Learn how it aims to reduce healthcare costs and increase transparency for patients.

Revenue Cycle Management

Revenue Cycle Metrics: 21 Best RCM KPIs

Rex H.

Updated:

Published: Jan 11, 2023

Improve your financial performance by tracking the best revenue cycle metrics. Learn the industry benchmarks and how to measure success for 21 RCM KPIs.

Revenue Cycle Management

Revenue Integrity in Healthcare: Benefits and Best Practices

Rex H.

Updated:

Published: Jan 09, 2023

Improve your healthcare organization's financial performance with our guide on revenue integrity. Learn the benefits and best practices for this critical function.

Revenue Cycle Management

Transfer DRG Underpayments: A Big Reimbursement Opportunity

Rex H.

Updated:

Published: Jan 06, 2023

Find out why you should identify and track DRG underpayments in this comprehensive guide. Don't miss out on this reimbursement opportunity - read now to learn more.

Healthcare Policy

Good Faith Estimates and Patient Medical Records: What You Must Know

Rex H.

Updated:

Published: Jan 04, 2023

Find out what federal regulations say about Good Faith Estimates and their relationship to patient medical records.

Revenue Cycle Management

Best Revenue Cycle Management Conferences 2023

Rex H.

Updated:

Published: Jan 02, 2023

Discover the best revenue cycle management conferences for 2023. Our list includes the top events for professionals looking to stay up-to-date on the latest industry trends and technologies.

Healthcare Technology

Claims Analytics in Healthcare: Benefits and Use Cases

Rex H.

Updated:

Published: Dec 23, 2022

Learn about the benefits of using claims analytics in your practice, including improved efficiency, cost savings, and better decision-making. Explore different use cases and find out how to implement claims analytics in your practice.

Workflow Automation

Patient Cost Estimate Software: Why You Should Adopt Now

Rex H.

Updated:

Published: Dec 21, 2022

Learn how patient cost estimate software can help your healthcare practice provide accurate and transparent pricing information to your patients, improving their financial planning and satisfaction with their care.

Healthcare Policy

Transparency in Coverage Final Rule: All You Need to Know

Rex H.

Updated:

Published: Dec 19, 2022

Learn how the Transparency in Coverage final rule is designed to facilitate open pricing in healthcare and what it means for patients and providers.

Healthcare Policy

Qualifying Payment Amount (QPA): A Comprehensive Guide

Rex H.

Updated:

Published: Dec 16, 2022

The Qualifying Payment Amount (QPA) is a critical part of billing disputes in the No Surprises Act. Learn how it's calculated and other details in our guide.

Healthcare Policy

HB22-1285: Colorado Hospital Price Transparency Law

Rex H.

Updated:

Published: Dec 14, 2022

Colorado's HB22-1285 law promotes price transparency. Find out what rules hospitals have to follow to avoid collection prohibitions.

Workflow Automation

Revenue Cycle Management Automation: All You Need to Know

Rex H.

Updated:

Published: Dec 12, 2022

Revenue cycle management automation can help your healthcare organization succeed. Learn the types of RCM automation and their benefits.

Healthcare Policy

Good Faith Estimates for Insured Patients: What We Know So Far

Rex H.

Updated:

Published: Dec 09, 2022

Are good faith estimates required for insured patients? Learn what the status is and other regulations that apply to consumers with insurance.

Workflow Automation

Denial Management Software for Healthcare Practices

Rex H.

Updated:

Published: Dec 07, 2022

Denial management software is becoming more valuable as denied claims from payers continue to increase. Learn how it can benefit your practice.

The No Surprises Act and Dental Care: Don’t Be Surprised When It Affects You

Healthcare Policy

The No Surprises Act and Dental Care: How It Applies

Rex H.

Updated:

Published: Dec 05, 2022

Does the No Surprises Act apply to dental care? Learn what regulations dentists must follow.

Revenue Cycle Management

Hire Revenue Integrity Analysts: A How-to Guide

Rex H.

Updated:

Published: Dec 01, 2022

Looking to hire revenue integrity analysts? Learn everything you need to know in our guide.

Healthcare Policy

No Surprises Act Enforcement: What to Expect in 2023

Rex H.

Updated: Jan 03, 2023

Published: Nov 28, 2022

Enforcement of the No Surprises Act has been limited, but not for much longer. Learn the causes for delayed enforcement and what to expect.

Healthcare Policy

Good Faith Estimate Template No Surprises Act: FAQ & Example

Rex H.

Updated:

Published: Nov 21, 2022

We walk you through the official good faith estimate template and outline the requirements you need to know.

Healthcare Policy

No Surprises Act Provider Directory: Requirements for Practices & Plans

Rex H.

Updated:

Published: Nov 18, 2022

Learn what the provider directory is and its requirements in the No Surprises Act for providers and health plans.

Patient Engagement

Upfront Cost Estimates and Patient Payments: A Beneficial Pairing for Healthcare Practices

Rex H.

Updated:

Published: Nov 16, 2022

Learn how combining upfront cost estimates with patient payments can improve your practice's financial performance while delivering a better patient experience.

Healthcare Policy

No Surprises Act Notice and Consent Form: FAQ & Walkthrough

Rex H.

Updated:

Published: Nov 14, 2022

Get your questions answered in our walkthrough of the No Surprises Act's notice and consent form.

Healthcare Policy

Indiana Price Transparency Laws: House Bills 1004 & 1447

Rex H.

Updated:

Published: Nov 09, 2022

Indiana House Bills 1004 & 1447 augment healthcare price transparency laws established in the No Surprises Act. Learn what the regulations are and how this affects providers in Indiana.

Healthcare Policy

Advanced EOB: No Surprises Act Requirements

Rex H.

Updated:

Published: Nov 07, 2022

The advanced EOB is a new requirement in the No Surprises Act. Learn what must be in this statement and who must get it.

Healthcare Technology

Healthcare Price Transparency Solutions: Why You Should Adopt Now

Rex H.

Updated:

Published: Nov 01, 2022

Healthcare price transparency solutions should be adopted sooner rather than later. Learn how your practice can benefit from these tools.

Insurance Verification Software: Why You Should Verify Benefits Eligibility With Technology

Workflow Automation

Insurance Verification Software: Why You Should Verify Benefits Eligibility With Workflow Automation Technology

Rex H.

Updated:

Published: Oct 28, 2022

Insurance verification software is critical to maintain a high clean claim rate and healthy financial performance for your practice. Learn why you should automate benefits eligibility in our free guide.

Revenue Cycle Management

Point-of-Service Collections in Healthcare: Why It’s Important and How to Do It

Rex H.

Updated:

Published: Oct 26, 2022

Point-of-service collections are critical to a healthcare organization's financial performance. Learn the benefits and best practices of collecting upfront in our free guide.

Revenue Cycle Management

Net Collection Rate: How to Increase

Rex H.

Updated:

Published: Oct 24, 2022

Net collection rate is an important measure of a healthcare provider's revenue integrity. Learn how to increase your rate in our guide.

Healthcare Policy

No Surprises Act Final Rule Effective October 25, 2022: New Regulations You Need To Know

Rex H.

Updated:

Published: Oct 21, 2022

Learn the key regulations to know in the No Surprises Act Final Rule that is in effect as of October 25, 2022.

Revenue Cycle Management

Payment Variance in Healthcare: How to Recover Revenue from Underpayments

Rex H.

Updated:

Published: Oct 19, 2022

Payment variance in healthcare is common due to routine underpayment from insurers and presents a massive opportunity for revenue recovery. Learn how to get the money you're owed.

Healthcare Policy

Good Faith Estimate Requirements in the No Surprises Act: All You Need To Know

Rex H.

Updated:

Published: Oct 17, 2022

Good faith estimate requirements are critical to understand to become compliant with the No Surprises Act. Learn all the key regulations to know in our guide.

Good Faith Estimate Software for No Surprises Act Compliance

Workflow Automation

Good Faith Estimate Software for NoSA Compliance

Rex H.

Updated:

Published: Oct 14, 2022

Good faith estimate software can help your practice with No Surprises Act compliance and revenue. Learn more with our guide.

Healthcare Policy

Patient-Provider Dispute Resolution (PPDR) in the No Surprises Act [Full Guide]

Rex H.

Updated:

Published: Oct 12, 2022

Patient-provider dispute resolution is regulated extensively within the No Surprises Act. Learn what the rules are and how PPDR works in this full guide.

Healthcare Policy

No Surprises Act and FQHCs: Why Compliance Is Important

Rex H.

Updated:

Published: Oct 11, 2022

It's critical for FQHCs to comply with the No Surprises Act. Learn why it's important and how good faith estimates and other regulations help FQHCs beyond compliance.

Healthcare Policy

No Surprises Act: Independent Dispute Resolution (IDR) Process

Rex H.

Updated:

Published: Oct 10, 2022

A full guide to the No Surprises Act's federal independent dispute resolution (IDR) process for out-of-network charges.

Healthcare Policy

Convening Provider vs. Co-Facility in the No Surprises Act

Rex H.

Updated:

Published: Sep 30, 2022

Convening providers and co-facilities are treated differently under the No Surprises Act. Learn what the differences are as they pertain to Good Faith Estimates and other regulations.