This open enrollment season is different, with health coverage changing across payers and programs all at once. Medicaid, Medicare Advantage,…
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The impact of rising claims denials goes far beyond reimbursement delays – it leads to staff rework, billing disputes with…
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The 2026 CMS expansion is more than about adding procedures to the Ambulatory Surgical Center (ASC) Covered Procedures List. It…
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Revenue cycle management (RCM) for tribal health is one of healthcare's most challenging reimbursement environments. Tribal health organizations navigate a…
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This year’s HFMA Annual Conference gathered more than 4,000 healthcare finance leaders under the fitting theme of “Dare to Solve.”…
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Most denials are set in motion well before a claim is ever submitted. In a survey of more than 400…
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After a few days on the ground at ASCA SAMBA, one priority came up repeatedly among revenue cycle leaders: how…
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Medical billing teams are under pressure to reduce denials, accelerate reimbursement, and improve billing accuracy, even while managing fragmented tools…
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Roots Food Group delivers medically tailored, ready-to-eat meals to people with chronic illnesses. They’re experts at using food to help…
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Running billing for a single skilled nursing facility is complicated enough. For Paramount Healthcare, multiply that by 12. With hundreds…
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The impact of rising claims denials goes far beyond reimbursement delays – it leads to staff rework, billing disputes with…
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Hospitals face relentless pressure to reduce denials, expedite payments, and provide their staff with relief from repetitive claims work. Yet…
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A positive healthcare experience for the patient, resident, and even the provider, depends on so many factors. One seemingly minor…
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Lakeland Mental Health Center (LMHC), a nonprofit serving west central Minnesota since 1949, had a clear goal: keep behavioral healthcare…
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In a season when millions of Americans are selecting new insurance benefits, keeping up with their changes can put a…
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Your front office plays a critical role in navigating the open enrollment period and the insurance changes that come after…
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Reducing claims denials is a top priority for healthcare providers across care settings. From a 10-bed skilled nursing facility to…
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When a Medicare Beneficiary Identifier (MBI) changes and your platform doesn’t catch it, your customers pay the price – literally.…
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Larry H. Miller Senior Health provides care across 26 facilities, 16 home health and hospice teams, and one assisted living…
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Delivering home health and hospice care takes more than clinical excellence; it requires coordination, compassion, and clarity at every step,…
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As South Florida Psychiatry's practice grew to meet rising demand, staying focused on care meant rethinking what happened behind the…
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Healthcare providers are under a lot of pressure to improve revenue cycle management (RCM). But that’s tough to do without…
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The variables that influence a healthcare revenue cycle can resemble a tangled web. Even when things run efficiently, there are…
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Each year, U.S. healthcare providers spend billions of dollars on filing medical claims and billing – from verifying insurance coverage…
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Changing employment status, choosing a new plan during open enrollment, joining a family member’s insurance plan – these changes and…
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While a strong revenue cycle is the financial heart of every successful organization, healthcare providers often struggle to keep revenue…
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HFMA 2024 offered enlightening perspectives on some of today’s most pressing topics in revenue cycle management.
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Any provider knows medical billing can be a long, winding road. With many steps from patient intake to capturing full,…
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As the healthcare industry faces increasing demands and complexities, artificial intelligence (AI) emerges as a transformative force, promising to unlock…
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Claims denials are one of the biggest challenges facing providers today. According to RevCycle Intelligence, from 2016 to 2021, the…
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