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Posts tagged "Payment Models"

Rate Negotiations: Get Paid What You Deserve

October 24, 2025 / admin / Articles, Payer Contract, Payer Contract Management, Payer Contracting, Payer Negotiations, Payer Relations, Payer Relationships, Payer vs Provider, Payment Models, Rate Negotiation Service, Rate Negotiations
White Male Doctor Challenged by RCM

Here’s an uncomfortable truth. Most healthcare providers are being underpaid by insurance companies. Not because the insurance companies are evil, but because providers accept whatever rates are offered without pushing back. When you first join an insurance network, signing the contract and getting started feels easier than questioning the payment terms. Yet, that decision to […]

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Payer Contract, Payer Contract Management, Payer Contracting, Payer Negotiations, Payer Relations, Payer Relationships, Payer vs Provider, Payment Models, Rate Negotiation Service, Rate Negotiations

10 Trends Set to Transform Medical Billing

January 28, 2024 / admin / Analytics, Articles, Changing Regulations, Cybersecurity, Medical Billing, Medical Billing Trends, Outsourcing, Patient Consumerism, Payment Models, Revenue Cycle Management, Robotic Process Automation, RPA, Virtual Care

The healthcare industry is rapidly evolving, driven by advances in technology, changes in regulations, and shifts in consumer behavior. For medical billing professionals, these changes bring both opportunities and challenges. Staying up-to-date on the latest trends is key to remaining competitive and providing the best possible service to healthcare providers. We’ll explore the top 10 […]

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Artificial Intelligence, Big Data, Billing RPA, Changing Regulations, Cybersecurity, Healthcare, Medical Analytics, Medical Billing, Medical Billing Analytics, Medical Billing Trends, Patient Consumerism, Payment Models, Revenue Cycle Management, Revenue Cycle Optimization, Robotic Process Automation, RPA, Telehealth, Virtual Care

Recent Posts

  • White Male Medical Doctor Typing at Machine

    What’s the Difference Between Credentialing and Contracting?

  • LLM or Generative AI Assistant Bot

    Commonly Used Credentialing Prompts for LLMs, Generative AI

  • Female Medical Doctor PECOS User

    PECOS 2.0: Medicare Enrollment Gets a Major Upgrade

  • 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

Practices Served

  • Behavioral Health
  • Primary Care
  • DME
  • Urgent Care
  • Cardiology
  • 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
  • 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 Typing at Machine

    What’s the Difference Between Credentialing and Contracting?

  • LLM or Generative AI Assistant Bot

    Commonly Used Credentialing Prompts for LLMs, Generative AI

  • Female Medical Doctor PECOS User

    PECOS 2.0: Medicare Enrollment Gets a Major Upgrade

  • 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?

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