With tens of millions of patient records being breached each year – and hacking responsible for more than three-quarters of…
Revenue is the lifeblood of every healthcare provider. Denials staunch those revenues, delaying reimbursement and creating more work to examine,…
The end of the Public Health Emergency (PHE) in May marks the official end of the pandemic that’s disrupted our…
As the Public Health Emergency ends on May 11, 2023, billing compliance teams are faced with another “new normal” and…
Despite the fact that technology has proven to greatly improve operational efficiencies and ROI, some organizations push back on change…
Medicare Advantage (MA) health plans potentially face much stricter oversight from federal auditors under the risk adjustment data validation (RADV)…
Providers and payers traditionally have had a deficit of trust in their relationship due to a lack of shared goals…
While healthcare’s mission is to take great care of every patient who passes through a provider’s door, that cannot happen…
Driven by payers who have upped their audit game, many large healthcare systems are disadvantaged due to a lack of…
More than half of U.S. hospitals reported negative profit margins for 2022, the worst year hospitals have faced since the…
Amid changes in healthcare delivery since the pandemic, the role of billing compliance teams has become more important in delivering…
Coding accurately and fully captures the physician visit, tests or procedures, medical equipment, and all else that occurred during the…