Over the last two decades, the revenue cycle and revenue capture have evolved dramatically. In the past, coding teams focused heavily on getting claims out the door.
Author: Super User
The U.S. health insurance market we know in 2019 is already drastically different and more challenging than the one we left behind in 2018.
NTT Data has released a new series of thought-provoking podcasts from Becker's Healthcare. They discuss a wide variety of topics, including managing data, customer experience, and how health plans can use data to manage costs, and include several exciting speakers…
Today’s payer-provider partnerships are more collaborative than ever. Historically transactional and defined by reimbursement and coverage-based decisions, the association has shifted dramatically as providers find themselves increasingly accountable for cost and quality.
The small and medium-sized (SMB) health plan market has a broad geographical footprint.
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“Which provider is the lowest cost, highest quality, and is in my CIN?”
The new Arizona law HB2322 goes a long way in speeding up the provider approval process, in order to reap the benefits of the new 60-business-day deadline, the process must start with a complete and accurate application.
What picture comes to mind when you think of the relationship between providers and payers?
President Trump’s recent speech about lowering drug price has been both lauded as long-overdue and derided as an overly-broad policy blueprint that lacks real action steps.
Despite the elimination of mandatory bundled payments by the Centers for Medicare and Medicaid (CMS), commercial insurers are investing in this model based upon the positive results they’ve seen from the CMS demonstration models and their own trial experiences.