Straight-Through Billing
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Medical billing complexity and massive volumes of daily claims render manual claims processes incapable of protecting both the provider and the payer from underpayments, overpayments, and billing compliance violations. Straight-Through Billing (STB) addresses complexity and volume processing problems by automating the majority of the claim flow and focusing the billing follow-up specialists on exceptions only. […]
No-Show Risk Management
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When patients miss appointments, they interrupt the flow of patient care, impede clinic productivity, and signal an eroding patient loyalty. The rate of no-shows runs at 30% for the average family practice. A missed appointment amounts to missed billing revenue. Worse, if clinicians are part-time or full-time staff rather than contracted, they sit idle on […]
Change Healthcare Outage Updates
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Update – March 29, 2024 We understand the challenges the Change Healthcare outage has brought, especially with delayed payments and confusing updates. Here’s how we’re addressing these issues: Payment Delays: We’re working tirelessly to manage these delays. Remember, if our work doesn’t result in your payment, it’s free. Clear Communication: We’ll continue to provide regular, straightforward updates […]
AI for outcomes-based compensation in healthcare
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What is outcomes-based compensation in healthcare? Compensation plans in the healthcare industry have undergone a paradigm shift, with more providers moving away from volume-based to outcome-based compensation for their employees. This is partly attributable to the rising healthcare costs and enhanced patient empowerment, with a growing need for better quality of service delivery (Zigrang, 2022). […]