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Revenue Cycle ManagementMultiple Procedure Payment Reductions: How to Stop Them from Draining Provider Revenue
Multiple Procedure Payment Reductions (MPPRs) sap healthcare organization revenue. Use these best practices to limit them.
Revenue Cycle ManagementMSO Underpayments: How to Uncover Hidden Revenue
As an MSO, you can impress PE investors when you identify underpayments and insist that payers reimburse per the exact amounts agreed to in your contracts.
Revenue Cycle ManagementMSO Recapitalization: Leverage Underpayments and More to Appeal to Private Equity Investors
Eager to enter healthcare, Private Equity is looking for MSO recapitalization opportunities. Review how to use recapitalization to connect.
Revenue Cycle ManagementMedical Claims Appeal Processes: How Healthcare MSOs Can Streamline
54% of private payer denials are ultimately overturned. MSOs can tame the appeals process by integrating all platforms and using automation and AI.
Revenue Cycle ManagementContract Management Integrations: 11 Obstacles Providers Can Easily Overcome
Review how to overcome each challenge in contract management integration so your MSO or provider group can become a digitized, modernized 21st century digital healthcare system.
Revenue Cycle ManagementAutomated Healthcare Solutions: Where Are You in Streamlining RCM Processes?
It's past time to stop the "brute force" manual spreadsheet analysis of your revenue cycle. Read
Revenue Cycle ManagementHealthcare Contracts: How MSOs Can Handle Contract Complexity Across Many Locations
MSOs must create, manage, and monitor payer contracts far more carefully than a physician group or even a health system limited to one state. Review how you can support your portfolio with aggressive contract managment.
Revenue Cycle ManagementPayment Posting: How to Improve this Process to Identify Underpayments
Review the importance of payment posting and the processes to optimize it so that you can enhance revenue cycle efficiency, improve overall financial health.
Revenue Cycle ManagementReal-Time Visibility into Contract Performance: Why & How to Move Away from Manual Review
Discover how you can get the advantages of real-time visitiblity into contract performance when you shift away from time-consuming manual review.
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Revenue Cycle ManagementPayer Contract Audits: Steps to Writing Robust Revenue into Agreements
Set up a contract audit process at your healthcare organization with these steps. Contract audits are crucial for maintaining financial health and uncovering underpayments and unfavorable contract terms.
Revenue Cycle ManagementDecentralized Operations: How MSOs Can Centralize the Revenue Cycle
With numerous acquisitions, management services organizations (MSOs) must reject decentralization and centralize operations to optimize revenue and succeed.
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Revenue Cycle ManagementRevenue Cycle Efficiency: Achieve Productivity and Accuracy in Existing Operations
Explore how you can increase the speed and accuracy of existing revenue cycle operations. Reduce waste and minimize errors in financial, operational, and administrative processes.
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Revenue Cycle ManagementLesser-of Clauses in Payer Contracts: How to Negotiate and Win
Explore how your healthcare organization can track down, understand, and negotiate lesser-of clauses in payer contracts.
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Revenue Cycle ManagementRCM Data - Find it, Analyze It, and Build On Its Insights for Better Revenue
Discover how to leverage RCM data sources, analytics tools, and expertise to optimize your healthcare revenue cycle. Explore in-house vs. outsourced options for data-driven improvements.
Revenue Cycle ManagementNavigating Payer Relationships: 2 MSO Approaches for Optimal Reimbursement
MSOs can simplify the provider / payer relationship. Explore both collaborative and adversarial approaches that optimize reimbursements, improve negotiations.
Revenue Cycle ManagementInsufficient RCM Staff for Underpayment Recovery? Automation Gets It Done
With limited RCM staff, recovering chronic underpayments can seem impossible. Review how MSOs and physician groups use automation to get this important work done.
Revenue Cycle ManagementHealthcare Chargemaster: Strengthen Your Pricing Foundation to Optimize Revenue
Manage your healthcare chargemaster and limit payer greed. Learn how to optimize revenue through effective people, processes, and technology.
Revenue Cycle ManagementSelf-Pay Collections: Establish a System that Benefits Providers & Patients
An upgraded self-pay collection system relies on good faith estimates, patient portals, mobile payment collection, and alternative payment plans to boost your revenue.
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Revenue Cycle ManagementPayer Performance Monitoring: Empowering Data-Driven Negotiations and Decisions
Discover the benefits, best practices, and technologies of payer performance monitoring to optimize revenue cycles and enhance healthcare operations.
Revenue Cycle ManagementClaim-Level Revenue Prediction: Allocate Your Resources with Precise Cash Flow Numbers
Discover how claim-level revenue prediction shores up many aspects of the healthcare revenue cycle. Read how incremental revenue improvements snowball into real money.
Revenue Cycle ManagementContract Compliance Monitoring: Outmaneuver Payers with This Revenue Recovery Tactic
How to enhance revenue recovery and outmaneuver payers in the competitive healthcare landscape with contract compliance monitoring.
Revenue Cycle ManagementAutomate Payer Fee Schedule Management for Higher Margins & Happier Staff
Start exploring how you can automate payer fee schedule management. There’s money in your contracts and fee schedules. Go get it!
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Revenue Cycle ManagementHealthcare Data Integration of Multiple PM Systems: Overcoming a Common MSO Challenge
MSOs struggle with healthcare data integration of multiple PM or EMR systems. Unleash reliable data integration to win future healthcare organization success.
Revenue Cycle ManagementRCM Benchmarks: How Close Does Your MSO Come to These Ideal Measurements?
Cut a clear path to better revenue and workflow efficiency when you benchmark your RCM activities. Review RCM benchmarks here.
Revenue Cycle ManagementHealthcare Contract Lifecycle Management: 7 Stages MSOs Must Optimize
Improving EBITDA takes rigorous healthcare contract lifecycle management. Review how you can shore up every stage in the contract lifecycle here.
Revenue Cycle ManagementRevenue Cycle Improvement: How MSOs Are Finding Cash and Cutting Their Cost to Collect
Achieving revenue cycle improvement is one of the first jobs of a new RCM director or VP. Review this list of every place to unlock healthcare revenue.
Revenue Cycle ManagementPayer Contract Management: How Physician Groups & MSOs Can Push Back on Insurers
MSOs and physician groups can push back on unfavorable payer proposed changes. See how the data from payer contract management empowers you.
Revenue Cycle ManagementHealthcare Fee Schedule and Contract Terms: Reinforce Revenue with These 6 Fixes
Only the utmost accuracy on your healthcare fee schedule and contract terms optimize your revenue. Improve accuracy with these 6 fixes.
Revenue Cycle ManagementEMR Integration After Acquisitions: A Guide for MSOs
Rapidly expanding management services organizations must integrate many different EMRs into their own. Make multiple EMR integration possible with this guide
Revenue Cycle ManagementHealthcare Revenue Intelligence: Revealing the Cash at Each Step of the Revenue Cycle
Reinforce your revenue when you use healthcare revenue intelligence (analytics) to find payer underpayments, registration errors, contract performance data, missed charges and more.
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Revenue Cycle ManagementHealthcare Revenue Recovery: Turn These 7 Challenges into Cash Flow
Strengthen your healthcare balance sheet with more revenue, not staffing cuts. Review these 7 approaches to healthcare revenue recovery.
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Revenue Cycle ManagementHealthcare Payer Analytics: 5 Forms of Analysis that Uncover Revenue Recovery Opportunities
Explore how you can get lucrative insights into each step of your revenue cycle using all five types of healthcare payer analytics.
Revenue Cycle ManagementMedical Practice Integration: A Guide for MSOs
Get a comprehensive overview as well as the critical details involved in medical practice integration. This roadmap gives you a quick start.
Revenue Cycle ManagementPatient Retention Strategies: 5 Approaches to Optimize Revenue
Winning a new patient costs from 5X - 25X more than retaining an existing one. Which of these top 5 patient retention strategies could reinforce your revenue?
Revenue Cycle ManagementPayer Contracting: 4 Steps to Maximizing Provider Reimbursement
When you have accurate data on your payer’s value to you and your value to them, you can negotiate your healthcare contracts with confidences and success.
Revenue Cycle ManagementPayer Strategy: How Provider Groups Can Optimize the Payer Mix
Establish a proactive payer strategy to regain control of your contracts and empower your practice in payer negotiations.
Revenue Cycle ManagementMSO Operations: Follow the Stabilization-Optimization-Growth Model for Success
MSOs that jump to biz dev after practice acquisition risk a physician group not ready for prime time. Review how to stabilize and optimize first!
Revenue Cycle ManagementWhy your EMR or PMS Isn’t Enough for Underpayment Recovery
Find out how you can shift the burden of contract management to automated technology and start bringing in missed underpayment revenue.
Revenue Cycle ManagementPractice Acquisition: Due Diligence Checklist for MSOs
Use this checklist to conduct due diligence into your physician group target’s operations, goals, finances, and legal obligations. Ensure it's a fit.
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 ManagementPayer Contract Management Software: How It 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.
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