Understanding what constitutes fraudulent billing prevents healthcare providers from undermining their revenue integrity and exposing their organizations to compliance violations. The greatest financial threat to healthcare providers is medical billing fraud.
Patient access is the foundation for efficient healthcare revenue cycle management (RCM), directly impacting the entire billing and claims process. At its core, eligibility verification affects a hospital’s bottom line.
Discover how automation is transforming patient access and financial clearance in healthcare. This webinar explores five key automation pathways that improve efficiency, reduce costs, and enhance the patient experience—from eligibility and estimation to authorization and Medicare Advantage identification.
Managing Accounts Receivable (A/R) in healthcare is a complex and ongoing challenge. The nature of payer systems means delays, denials, and inefficiencies that impact patient care.
Internally managing revenue cycle management (RCM) presents significant challenges for healthcare providers. Having staff available to navigate the complex world of insurance billing and coding while also having people on hand who will keep up with regulations and compliance isn’t enough.
There are always unknowns about what the year ahead holds for healthcare providers, especially in years when there is a change in presidential leadership and a new administration.
Billing is the lifeline of physician practices, and every dollar lost to inefficiency or error is a dollar that could support patient care. Gaps in billing processes, frequent denials, and staff shortages can derail financial stability, making it harder to keep operations running smoothly.
There are two aspects of the healthcare industry that perpetually challenge providers: the complexity of the healthcare landscape and the dynamic nature of payers.
Streamline prior authorization and enhance patient care with actionable strategies. This on-demand webinar covers ways to reduce administrative burdens, speed up authorizations, and improve payer-provider communication.
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