So, it’s that time again – your payer contracts are up for renewal and you need to renegotiate. Maybe you’re feeling like the reimbursement rates they’re offering are way too low. Or the administrative burdens and preauthorization requirements have gotten out of hand. Whatever the reason, you know you need to go back to the […]
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Posts tagged "reimbursement"
The Challenges and Opportunities of Digital Therapeutics (DTx) Reimbursement
The healthcare industry is undergoing a digital transformation, with software-based therapeutic interventions known as digital therapeutics emerging as disruptive new modalities to prevent, manage, and treat a growing range of medical conditions. Digital Therapeutics Breakdown Digital therapeutics deliver evidence-based treatments directly to patients through smart devices and applications. These data-driven tools provide personalized interventions, feedback, […]
Digital Health Center of Excellence, DTx, DTx Billing, DTx Reimbursement, healthcare, Integration, Interoperability, Interoperability and Integration, Medical, Medical Billing, Optimize Reimbursement, Real-World Evidence, reimbursement, Revenue Cycle, Revenue Cycle Management, revenue cycle optimization, RWEThe Reimbursement Model Shift in Medical Billing
The healthcare industry in the United States has undergone massive changes in recent decades. One of the most significant shifts has been in how healthcare providers get reimbursed for services. The traditional fee-for-service model is giving way to value-based models that tie reimbursement to quality of care and patient outcomes. This transformation in reimbursement is […]
Accountable Care Organizations, Billing Operations, Bundled Payments, Capitation, Fee-for-Service, fee-for-service model, P4P, P4P Model, Pay-for-Performance, reimbursement, Reimbursement Disruption, Value Based System, Value-Based Models, Value-based ReimbursementGetting Paid Faster: Strategies to Improve Cash Flow Cycles
For any medical practice, timely insurance reimbursement is essential for financial viability and supporting smooth practice operations. However, elongated claim payment cycles strain cash flow and necessitate borrowing to cover costs in the interim. This article explores techniques to accelerate payer payments and optimize the speed of the medical revenue cycle. Diagnosing Causes of Lagging […]
Cash Flow Cycles, healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing Service, medical billing strategy, rcm, reimbursement, reimbursement rates, Revenue Cycle, Revenue Cycle Management, revenue cycle optimizationHow Both Healthcare Providers and Medical Billing Companies Succeed
The Business Relationship Between a Healthcare Provider and Medical Billing Company has to be Built on a Solid Foundation What are the Steps in Achieving a Healthy Business Relationship Between a Healthcare Provider and a Medical Billing Company? A good understanding of both sides’ expectations is crucial to the success of both parties. The healthcare […]
Claim Status Updates, Customer Service, healthcare, Healthcare Provider's Expectations, healthcare providers, Medical Billing, Medical Billing Customer Service, Medical Billing Expectations, Medical Billing Service, medical billing strategy, medical claims, outsourced billing, reimbursement, Reimbursement Regulations, Revenue Cycle ManagementAll About ICD-10 Codes
Everything You Always Wanted to Know About ICD-10 Codes What are ICD-10 Codes? ICD-10 codes are the tenth revision of the International Statistical Classification of Diseases and Related Health Problems (ICD), a medical classification system used worldwide to classify and code diseases and health conditions. The ICD-10 codes are used by healthcare providers and insurance […]
healthcare, Healthcare Billing, ICD-10, ICD-10 lookup, ICD-11, Medical Billing, reimbursement, WHO, World Health Organization