Dana Finnegan

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A staggering 82% of denials in 2022 were associated with Medicare, posing a serious threat to healthcare organizations’ revenues that…

Learn how a hybrid strategy – a blend of prospective and retrospective auditing is the ideal path to helping achieve…

Learn what some of the top IDNs in the country are doing to combat the onslaught of external audit requests…

Achieving revenue integrity requires a cross-functional approach leveraging data gathered by multiple departments to generate a comprehensive picture of a…

Increased labor and supply costs are squeezing margins for providers of all shapes and sizes – from small group practices…

Given the rampant rise of COVID-19 fraud coupled with seniors’ high demand for Medicare Advantage plans, the CMS FWA (fraud,…

As health systems, payers, and regulatory agencies ramp up payment integrity and compliance audits, healthcare organizations find themselves embroiled in…