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Value-Based Care Integration

Value-Based Care Billing: Preparing for the Transition

September 20, 2025 / admin / Articles, RCM, Value Based Care, Value Based System, Value-Based, Value-Based Care, Value-Based Care Adoption, Value-Based Care Integration, Value-Based Care Models, Value-Based Models, Value-Based Reimbursement
Caucasian Red-Headed Male Medical Doctor

The healthcare industry stands at a pivotal moment. After decades of fee-for-service models that prioritized volume over outcomes, we’re witnessing a fundamental shift toward value-based care arrangements that reward quality, efficiency, and patient satisfaction. This transformation is reshaping the entire financial foundation of medical practices. For healthcare providers, this transition represents both tremendous opportunity and […]

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RCM, Value Based Care, Value Based System, Value-Based, Value-Based Care Adoption, Value-Based Care Integration, Value-Based Care Models, Value-Based Models, Value-based Reimbursement

Payer Contract Optimization Strategies

September 16, 2025 / admin / Articles, Healthcare Rate Negotiations, Medical Rate Negotiations, Payer Relationships, Rate Negotiations, Value Based Care, Value-Based, Value-Based Care, Value-Based Care Adoption, Value-Based Care Integration, Value-Based Models
Payer Contracting Negotiation

Managing payer contracts effectively can make the difference between a thriving practice and one that struggles financially. Healthcare organizations face mounting pressure to maximize revenue while delivering quality care, and optimizing payer contracts sits at the heart of this challenge. Smart contract optimization is about creating sustainable partnerships that benefit both providers and payers while […]

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Healthcare Rate Negotiations, Medical Rate Negotiations, Payer Relationships, Rate Negotiations, Value Based Care, Value-Based, Value-Based Care Adoption, Value-Based Care Integration, Value-Based Models

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Practices Served

  • Behavioral Health
  • Primary Care
  • DME
  • Urgent Care
  • Cardiology Billing, Credentialing
  • Speech Therapy
  • Geriatric Medicine
  • Skilled Nursing Facilities (SNF)
  • Substance Abuse
  • Genetic Testing
  • Pharmacogenetic (PGx)
  • Toxicology
  • Allergy Testing
  • Oncology
  • Pathology
  • OBGYN
  • Internal Medicine
  • Podiatry
  • Biologics and Specialty Drugs
  • Telestroke and Teleneurology
  • Digital Therapeutics (DTx)
  • Remote Patient Monitoring
  • Remote Therapeutic Monitoring
  • Home Infusion Therapy
  • Sleep Study Labs
  • Physical Therapy (PT)
  • Occupational Therapy
  • COVID-19 Testing

Practices Served

  • Behavioral Health
  • Primary Care
  • DME
  • Urgent Care
  • Cardiology Billing, Credentialing
  • Speech Therapy
  • Geriatric Medicine
  • Skilled Nursing Facilities (SNF)
  • Substance Abuse
  • Genetic Testing
  • Pharmacogenetic (PGx)
  • Toxicology
  • Allergy Testing
  • Oncology
  • Pathology
  • OBGYN
  • Internal Medicine
  • Podiatry
  • Biologics and Specialty Drugs
  • Telestroke and Teleneurology
  • Digital Therapeutics (DTx)
  • Remote Patient Monitoring
  • Remote Therapeutic Monitoring
  • Home Infusion Therapy
  • Sleep Study Labs
  • Physical Therapy (PT)
  • Occupational Therapy
  • COVID-19 Testing

Recent Posts

  • White Male Medical Doctor in need of Credentialing, at Hospital

    Credentialing: Provider Pain Points

  • White Female Medical Office Manager

    Acceleration of Revenue Cycle Metrics for Physician Groups

  • White Male Congressman slamming gavel

    The Recurring Telehealth Crisis: When Budget Debates Threaten Patient Care

  • Medical Credentialing Specialist, Hispanic Female

    Credentialing Case Studies: Challenging Provider Histories

  • Home Health Worker, White Female Treating a Male Patient

    Mastering Payer Contracts in Home Health

  • White Female Medical Credentialing Expertise

    Who Does Credentialing in a Healthcare Organization?

  • Primary Care Medical Billing, Credentialing

    Which CPT Codes are Used in Primary Care Billing

  • A Group of Contracted Doctors Standing in Times Square

    Provider Challenges in Payer Contracting

  • White Female Master Medical Credentialing Expert

    Complete Credentialing and Enrollment Process for Providers

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