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Revenue Cycle ManagementHow MSOs Optimize Provider Group Performance After New Acquisition
Get each new practice or physician group carefully tucked in to your MSO or PE organization before you go hunting new targets. See how here.
Revenue Cycle ManagementRevenue Cycle Management Challenges in 2024: How Healthcare Providers Can Tackle the Top 6
Review how other healthcare organizations are addressing the top 5 healthcare RCM challenges in 2024 in our latest guide.
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Revenue Cycle ManagementBest Practices for Contract Management: 9 Tips for Healthcare RCM Executives
Stop payers from siphoning off your healthcare organization's revenue. Use these best practices for contract management to make sure they pay full contracted rates.
Revenue Cycle ManagementPatient Financial Responsibility: How to Determine It & Convey It for Better Provider Revenue
Patient financial responsibility has risen dramatically in the past five years. Read why providing patient payment estimates early and often is the patient-centric solution.
Revenue Cycle ManagementMedical Appeal Letters: How to Select the Strongest Claims to Appeal and Overturn
The burden is on providers to fight payer underpayments and denials. Explore how you can select the right appeals and words to recover the revenue you've earned!
Revenue Cycle ManagementHealthcare Contract Management: Best Practices
Know which of your payers reimburse at the highest rates, stick to payment deadlines, and respond most quickly. Healthcare contract management makes it work.
Revenue Cycle ManagementDenials Prevention: Workflow Tweaks that Increase Clean Claims
Read how the time invested in denials prevention now returns to you many times over. Use these tips to avoid denials.
Revenue Cycle ManagementHealthcare Contract Management Software: Unlock Revenue & Lift Staff Burden with Automation
Contract management software gets you the access to just which of your payers are missing contracted rates, underpaying you.
Revenue Cycle ManagementRevenue Cycle Audit: How to Prepare For & Crush It
Revenue cycle audit coming up? Know the healthcare industry benchmarks for every step. Prepare to showcase your accomplishments and defend your decisions with these tips.
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Revenue Cycle ManagementUnderpayment Recovery for Medical Practices: A Step-by-Step Guide
Explore how medical practices can address and recover payer underpayments. Use these 4 steps to sweep in net revenue and get control over payer contracts.
Revenue Cycle ManagementRevenue Cycle Management Technology: Promises & Pitfalls to Consider Before Investing
Explore RCM technology's effectiveness, current state of adoption within the healthcare industry, and its potential beyond the 2023 CAQH Index's scope..
Revenue Cycle ManagementHealthcare Workflows: Sweep in More Revenue with These 13 Steps
High denials, bad debt, and low clean claim rates indicate your RCM workflows are broken. Explore the 12 steps to repairing healthcare workflows here.
Revenue Cycle ManagementSelf-Service Patient Payments: How to Use Them to Improve Patient Satisfaction & Revenue
Explore how you can empower patients to select payment plans and methods for your medical services conveniently from the comfort of home.
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Revenue Cycle ManagementProvider Credentialing: Steps to Limit Payer Denials & Improve Net Revenue
Faulty provider credentialing prompts payer denials, dropping net revenue. Get the steps and strategies to use proper provider credentialing to enhance revenue.
Revenue Cycle ManagementRCM for MSOs: Driving Value Creation with Revenue Cycle Optimization
Healthcare MSOs no longer look first to inorganic growth in their strategic playbook. Prioritizing operational efficiencies is today’s path to value creation.
Company NewsMD Clarity Celebrates Recognition as a Built In Best Place to Work
We’re proud to be recognized as a Built In Best Place to Work in Seattle, which is a significant achievement that speaks volumes about a company's commitment to its employees.
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Revenue Cycle ManagementPrior Authorization Software: Key Benefits & Elements Your Organization Needs
Learn how replacing manual prior authorization processes with software enhances patient care, streamlines healthcare processes, and alleviates staff workloads.
Revenue Cycle ManagementChange Management in Healthcare: Examples, Models, & Pitfalls
Explore effective change management in healthcare. Learn from real examples, understand its importance, and discover successful models.
Revenue Cycle ManagementUpfront Collections: How to Get Physicians & Staff Onboard with Collecting Pre-Service
Explore the necessity and methods of upfront collections in healthcare, addressing barriers and offering solutions for organizations that want to remain compassionate.
Revenue Cycle ManagementNet Revenue Forecasting: A Guide for Healthcare Organizations
Discover how precise net revenue forecasting can significantly enhance healthcare operations and financial stability, including the latest trends and best practices.
Revenue Cycle ManagementEnd-to-End RCM: Why Point Solutions Are Better
With healthcare data increasing 47% every year, physician groups and systems must use either an end-to-end RCM or a stack of point solutions. Read why point solutions are better.
Revenue Cycle ManagementAI in RCM: How Generative & Traditional AI Improve Revenue Cycle Management
While you may be using traditional AI in your revenue cycle management processes now, generative is just beginning to surface in healthcare. Both cut costs significantly.
Revenue Cycle ManagementRobotic Process Automation’s Role in Revenue Cycle Management: A Guide
Explore robotic process automation’s potential to improve your healthcare organization’s efficiency, quality and compliance, patient outcomes, and revenue cycle.
Revenue Cycle ManagementPatient Payment Solutions: Leveraging Technology to Boost Net Revenue
More forward-thinking physician groups and management services organizations are turning to automated patient payment solutions to cut costs and increase net revenue..
Revenue Cycle ManagementPayer Contract Negotiation: How to Prepare, Negotiate, & Track Effectively
Providers must advocate for the highest fees and best terms during payer contract negotiation. Use this guide to gather the data and strategy you need to win.
Revenue Cycle ManagementRevenue Cycle Optimization: Best Practices for Healthcare Providers
Optimal revenue cycle optimization requires staff, management, and technology all working together to win the maximum net revenue. Read how all 3 contribute.
Revenue Cycle ManagementRevenue Cycle Management Trends to Leverage in 2024
See what other healthcare organizations are adopting to improve revenue cycle management. Knowing these trends keep the RCM function current and robust.
Revenue Cycle ManagementHow Payer Contract Management Software Wins Providers More Revenue
Providers have little time to read payer contracts. Payer contract management software helps providers get appropriate revenue and regain negotiation power.
Revenue Cycle ManagementRevenue Cycle Analytics Software: Unlock the Power of Your Data to Improve RCM
Today, it takes revenue cycle analytics software to find revenue leaks. Healthcare leaders are urging providers to use RCM software recoup maximum revenue.
Revenue Cycle ManagementHealthcare Underpayments: A Guide for Providers
Providers lose from 1 to 11% of revenue through healthcare underpayments. You can limit these underpayments by exploring and addressing their triggers.
Revenue Cycle ManagementRevenue Cycle Analytics: What It Is & How It Benefits RCM
Revenue cycle analytics is the use of data to analyze, track, and optimize workflows involved in healthcare RCM. Learn how your organization can benefit from its insights.
Revenue Cycle ManagementInsurance Discovery Software: Why You Should Detect Coverage with Technology
Learn what insurance discovery software can do and why your healthcare organization should implement it in our free guide.
Revenue Cycle ManagementRevenue Cycle Management Burnout: Causes & Solutions
Uncover the reasons behind revenue cycle management (RCM) burnout and explore practical solutions. Learn more to improve productivity and reduce burnout in your healthcare organization.
Revenue Cycle ManagementRevenue Cycle Management Staffing Shortage: How to Beat it with Automation
Navigate the revenue cycle management (RCM) staffing shortage. Learn its origins, implications for healthcare, and automation as a powerful solution.
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Healthcare PolicySliding Fee Discounts in Good Faith Estimates: What FQHCs Need to Know
Discover how sliding fee discounts work in good faith estimates. Understand how sliding fees work with PPDR.
Revenue Cycle ManagementFACHE Certification: Still Worth It for Healthcare Executives?
Discover what FACHE certification entails, who it's for, and its value. Is it worth the effort?
Revenue Cycle Management7 Best Revenue Cycle Management Books to Read in 2024
Explore the highest-rated revenue cycle management books to master healthcare finance. Check them out now.
Healthcare PolicyUpdates to CMS Hospital Price Transparency Enforcement in 2023
Explore the recent updates to CMS Hospital Price Transparency enforcement, understand the changes in compliance requirements, and the implications for hospitals.
Revenue Cycle ManagementCigna Denials and Underpayments: Causes and Mitigation Strategies for Providers
Uncover the reasons behind Cigna denials and underpayments, and find out how providers can overcome their effects.
Revenue Cycle ManagementMedical Revenue Services: Maximizing Your Practice's Financial Potential
Discover medical revenue services to boost your practice's finances. Learn types, benefits and the advantages of software services vs outsourcing.
Revenue Cycle ManagementRevenue Cycle Specialists: Navigating the Decision Between In-House and Outsourced Expertise
Explore the benefits of revenue cycle specialists, comparing in-house and outsourced options. Make an informed decision for your organization.
Revenue Cycle ManagementReal-time Insurance Eligibility Verification: Advantages & Best Solutions
Learn how real-time insurance eligibility verification can lead to a streamlined revenue cycle while improving patient experience.
Revenue Cycle ManagementACMPE Certification: Is It Worth It?
Delve into the ACMPE certification. Learn about differences with CMPE, specializations, and costs – make an informed choice for your career.
Revenue Cycle ManagementRevenue Leakage in Healthcare: Causes, Impacts, and Prevention Strategies
Stop revenue leakage in healthcare. Learn the causes, effects, and strategies to boost your bottom line. Learn more now.
Revenue Cycle ManagementBenefits of Price Transparency in Healthcare: How Patients & Providers Win
Explore how price transparency in healthcare benefits patients & providers alike. Enhance trust, efficiency & collections. Dive in!
Revenue Cycle ManagementRCM Software: Types, Benefits, and Vendors Explained
Delve into RCM software types, advantages, and leading providers. Automate your revenue cycle management for optimal results – learn more in our article.
Revenue Cycle ManagementDenial Management: Benefits, Strategies & Key Trends
Dive into denial management in healthcare. Learn about benefits, strategies, and key trends. It takes proactive denial management to optimize net revenue.
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Healthcare PolicyCurrent Policies for Prior Authorization: Why They’re Likely Changing in 2023
Learn about current policies for prior authorization and what proposals are on the table to change them in 2023.
Revenue Cycle ManagementRevenue Cycle Management Outsourcing: Pros, Cons, & Alternatives
Discover the benefits and drawbacks of outsourcing revenue cycle management. Learn about costs, top companies, and alternatives to consider.
Healthcare TechnologyBest Practice Management Software in 2024: 22 PM Systems Compared
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 ManagementCRCR Certification: What RCM Specialists Need to Know
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.
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Revenue Cycle ManagementRevenue Cycle Management Strategies in 2024
Learn about 8 trends that require new revenue cycle management strategies in 2024 and how to navigate them.
Healthcare PolicyAbbreviated Good Faith Estimate for No-Cost Healthcare: Requirements & Template
Learn the requirements and get the template for the abbreviated good faith estimate that is designed for no-cost healthcare services.
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Revenue Cycle ManagementValue-Based Contracting: A Comprehensive Guide
Learn all about value-based contracting - the types, benefits, examples, and methods that are being used to increase provider participation.
Healthcare PolicyHCPCS Codes: Everything You Need to Know
Learn the ins and outs of HCPCS codes - from modifiers to recent No Surprises Act regulations - in our free guide.
Revenue Cycle ManagementRevenue Cycle Management in Healthcare: A Guide for Providers
Get a complete understanding of revenue cycle management, from the primary stages to the latest advancements in 2023, with our free guide.
Revenue Cycle ManagementUnderpaid Claims in Healthcare: What Providers Need to Know
Learn about underpaid claims in healthcare, how to detect them, and strategies for prevention in this article.
Healthcare TechnologyHealthcare Contract Modeling Software: Getting the Upper Hand With Payers
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 ManagementCARC and RARC Codes in Claims Management
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 ManagementBad Debt in Healthcare: How to Reduce
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 PolicyASP Drug Pricing in Healthcare: What Providers Need to Know in 2024
Learn about ASP drug pricing in healthcare and how it's been impacted by the Inflation Reduction Act.
Revenue Cycle ManagementDNFB in Healthcare: How to Improve this Key Revenue Cycle Metric
Understand the impact of high DNFB in healthcare, causes, & best practices to improve. Learn how to take control of this key metric now.
Healthcare PolicyIDR Administrative Fees: What’s Changed in 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 ManagementMedicare Credit Balance Report Due Dates 2024
Stay on top of your Medicare credit balance report due dates for 2023. Learn when to submit form CMS-838 now.
Healthcare TechnologyHealthcare Price Transparency Companies: How They Can Benefit Your Practice
Discover how healthcare price transparency companies can benefit your practice by improving financial performance and patient satisfaction. Learn more now.
Healthcare PolicyAll-Payer Claims Databases and the No Surprises Act: What You Need to Know
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 ManagementRevenue Cycle Metrics: 21 Best RCM KPIs
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 ManagementRevenue Integrity in Healthcare: Benefits and Best Practices
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 ManagementTransfer DRG Underpayments: A Big Reimbursement Opportunity
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.
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Revenue Cycle ManagementBest Revenue Cycle Management Conferences 2024
Discover the best revenue cycle management conferences for 2024. Our list includes the top events for professionals looking to stay up-to-date on the latest industry trends and technologies.
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Healthcare PolicyGood Faith Estimates and Patient Medical Records: What You Must Know
Find out what federal regulations say about Good Faith Estimates and their relationship to patient medical records.
Healthcare TechnologyClaims Analytics in Healthcare: Benefits and Use Cases
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 AutomationPatient Cost Estimate Software: Why You Should Adopt Now
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 PolicyTransparency in Coverage Final Rule: All You Need to Know
Learn how the Transparency in Coverage final rule is designed to facilitate open pricing in healthcare and what it means for patients and providers.
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Healthcare PolicyQualifying Payment Amount (QPA): A Comprehensive Guide
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 PolicyHB22-1285: Colorado Hospital Price Transparency Law
Colorado's HB22-1285 law promotes price transparency. Find out what rules hospitals have to follow to avoid collection prohibitions.
Workflow AutomationRevenue Cycle Management Automation: How AI, NLP, OCR Multiply Its Benefits
RCM automation can involve robotic process automation, generative and traditional AI, OCR and NLP. All promise to improve provider revenue. A clear-eyed guide.
Healthcare PolicyGood Faith Estimates for Insured Patients: What We Know So Far
Are good faith estimates required for insured patients? Learn what the status is and other regulations that apply to consumers with insurance.
Workflow AutomationDenial Management Software for Healthcare Practices
Denial management software is becoming more valuable as denied claims from payers continue to increase. Learn how it can benefit your practice.
Healthcare PolicyThe No Surprises Act and Dental Care: How It Applies
Does the No Surprises Act apply to dental care? Learn what regulations dentists must follow.
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Revenue Cycle ManagementHire Revenue Integrity Analysts: A How-to Guide
Looking to hire revenue integrity analysts? Learn everything you need to know in our guide.
Healthcare PolicyNo Surprises Act Enforcement: What to Expect in 2023
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 PolicyGood Faith Estimate Template No Surprises Act: FAQ & Example
We walk you through the official good faith estimate template and outline the requirements you need to know.
Healthcare PolicyNo Surprises Act Provider Directory: Requirements for Practices & Plans
Learn what the provider directory is and its requirements in the No Surprises Act for providers and health plans.
Patient EngagementUpfront Cost Estimates and Patient Payments: A Beneficial Pairing for Healthcare Practices
Learn how combining upfront cost estimates with patient payments can improve your practice's financial performance while delivering a better patient experience.
Healthcare PolicyNo Surprises Act Notice and Consent Form: FAQ & Walkthrough
Get your questions answered in our walkthrough of the No Surprises Act's notice and consent form.
Healthcare PolicyIndiana Price Transparency Laws: House Bills 1004 & 1447
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 PolicyAdvanced EOB: No Surprises Act Requirements
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 TechnologyHealthcare Price Transparency Solutions: Why You Should Adopt Now
Healthcare price transparency solutions should be adopted sooner rather than later. Learn how your practice can benefit from these tools.
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Workflow AutomationInsurance Verification Software: Why You Should Verify Benefits Eligibility With Workflow Automation Technology
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 ManagementPoint-of-Service Collections in Healthcare: Why It’s Important and How to Do It
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 ManagementNet Collection Rate: How to Increase
Net collection rate is an important measure of a healthcare provider's revenue integrity. Learn how to increase your rate in our guide.
Healthcare PolicyNo Surprises Act Final Rule Effective October 25, 2022: New Regulations You Need To Know
Learn the key regulations to know in the No Surprises Act Final Rule that is in effect as of October 25, 2022.
Revenue Cycle ManagementPayment Variance in Healthcare: How to Recover Revenue from Underpayments
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 PolicyGood Faith Estimate Requirements in the No Surprises Act: All You Need To Know
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.
Workflow AutomationGood Faith Estimate Software for NoSA Compliance
Good faith estimate software can help your practice with No Surprises Act compliance and revenue. Learn more with our guide.
Healthcare PolicyPatient-Provider Dispute Resolution (PPDR) in the No Surprises Act [Full Guide]
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 PolicyNo Surprises Act and FQHCs: Why Compliance Is Important
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.
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