Billing Compliance

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Revenue is the lifeblood of every healthcare provider. Denials staunch those revenues, delaying reimbursement and creating more work to examine,…

The end of the Public Health Emergency (PHE) in May marks the official end of the pandemic that’s disrupted our…

As the Public Health Emergency ends on May 11, 2023, billing compliance teams are faced with another “new normal” and…

Despite the fact that technology has proven to greatly improve operational efficiencies and ROI, some organizations push back on change…

Medicare Advantage (MA) health plans potentially face much stricter oversight from federal auditors under the risk adjustment data validation (RADV)…

Driven by payers who have upped their audit game, many large healthcare systems are disadvantaged due to a lack of…

Amid changes in healthcare delivery since the pandemic, the role of billing compliance teams has become more important in delivering…

Coding accurately and fully captures the physician visit, tests or procedures, medical equipment, and all else that occurred during the…

Billing compliance professionals are continuously faced with changing regulations, staffing challenges, and external agencies scrutinizing their every move along the…

Getting on the same page. Rowing in the same direction. Singing from the same songbook. Call it what you will,…

Much has changed across the healthcare landscape over the past five years, most of it fueled by workflow changes necessitated…

When it comes to risk management in healthcare, access to multiple data signals helps formulate a far more accurate understanding…