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Insights That Move Healthcare

Expert perspectives on revenue cycle, risk adjustment, compliance, and healthcare strategy – designed to help providers, plans, and leaders make smarter operational and financial decisions.

How Will the CMS TEAM Model Impact Home Healt...

Late last year, CMS introduced the Transforming Episode Accountability Model (TEAM). It addresses five surgical categories with the intent of improving the quality of care and reducing expenditures. This model directly impacts home health billing from multiple angles.

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TEAM Model
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Pathology Billing
August 12, 2025

The Pathologist's RCM Checklist: Are ...

Your pathologists are diagnosing cancer. But your billing team? They’re diagnosing something else entirely: denials, und...

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Revenue Cycle Management
July 03, 2025

Emerging U.S. Regulatory and Payer Tr...

U.S. clinical labs face mounting regulatory challenges and shifting payer dynamics that are fundamentally changing how l...

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Physician's Guide to Financial Success
April 17, 2025

Mastering Payor Contracting: A Physic...

Physician practices face mounting financial pressures from rising operational costs, increasing claim denials, and compl...

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Providers Should Stay the Course
March 13, 2025

The No Surprises Act Is in Jeopardy, ...

Recent federal layoffs have added a new layer of uncertainty for providers impacted by the No Surprises Act. The federal...

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Medical Coding Outsourcing Companies
January 29, 2025

Why You Need Medical Coding Outsourci...

The healthcare industry in the United States is undergoing rapid transformation. As 2025 develops, healthcare leaders fa...

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About Medicaid Managed Care
September 17, 2024

7 Things to Know About Medicaid Manag...

At more than 90 million people, Medicaid sits near the top of the list of the United States’ largest insurers. It covers...

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Physician Billing Service
August 12, 2024

How the No Surprises Act Has Impacted...

The No Surprises Act (NSA) brought with it large amounts of speculation on its impact on physician billing services, and...

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Payer Contract Review
May 29, 2024

Revisiting Payer Contract Review for ...

Healthcare providers should constantly be reviewing and assessing the performance of their payer contracts. But as the p...

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Market-based logistics efficiency
September 10, 2021

4 Tips for Physician Billing Services...

While COVID-19 “changed everything”, the change hasn’t stopped. Physicians will find that, even as things are settling d...

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