Prospective, Concurrent, and Retrospective Ri...
Risk adjustment is often discussed as a Medicare Advantage problem. In actuality, it affects every organization whose reimbursement, shared savings, or quality performance depends on accurately reflecting the complexity of their patient population.
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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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July 08, 2025
Medical Coding Audits 101: How Physic...
You’re wrapping up a 10-hour shift. One more note to finish, one last patient to call – and then someone from billing wa...
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May 23, 2025
Outsourced Medical Billing in 2025: A...
The medical billing outsourcing market is experiencing unprecedented growth, with the global market size projected to re...
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September 12, 2023
Changed Your Service Lines? It's Time...
In the wake of COVID, budget crunches, and labor shortages, many hospitals and health systems have been making the smart...
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March 07, 2023
Biggest Risks in Physician Billing in...
Physician billing companies know a secret – keeping on top of risks in physician billing services is one of the most eff...
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November 24, 2020
Get Your Billing and Coding Ready for...
Next year promises interesting changes for the Medicare Physician Fee Schedule — many of which will help medical billers...
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November 14, 2019
It's Time to Rethink These 6 Home Hea...
Outsourcing is changing — possibly more in home health billing services than anywhere else. The assumptions and practice...
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August 21, 2019
Home Health Is About To Get A Lot Mor...
Review Choice Demonstration (RCD) has been rolled out in Illinois and will soon launch in Florida, North Carolina, Texas...
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