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Emergency Medicine
Healthcare
Physician Services

Ogi Kwon & Sharon KimJuly 1, 2021

Deciphering the No Surprises Act: Top FAQs to Prepare

The No Surprises Act (“the Act”), effective January 1, 2022, is a federal law designed to protect patients from unexpected excessive medical bills when they are unable to choose an in-network provider. The law requires that out-of-network providers (including hospitals, physicians, non-physician providers, and ...

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Article
Billing
CMS
Physician Services
Telehealth

Dr. Ronald HirschJune 14, 2021

AAPL: Physician Billing During the COVID-19 Public Health Emergency: Ambiguities Abound

The COVID-19 pandemic brought with it an unprecedented number of waivers and regulatory flexibilities that allowed physician practices to continue to provide care to patients in the office and hospital. But with these came significant confusion related to coding of services provided to patients during the public ...

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Billing
Blog Post
Emergency Medicine
Physician Services
Price Transparency

Kathryn BeardMay 11, 2021

How Emergency Physician Groups Can Endure Balance Billing Restrictions

While the price transparency law is helping patients better anticipate and manage healthcare costs, there are still situations where they can receive unexpected bills – especially when making a ...

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Billing
Blog Post
Physician Services
Revenue Cycle

Richard Lopez del RinconFebruary 23, 2021

3 Ways Revenue Cycle Partnerships Produce Financial Sustainability

This post is part two of a two-part blog.

 

There is no doubt that many practices are in a strenuous financial period. Organizations need to quickly identify opportunities to reduce costs and increase profitability, which is making them seriously consider

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Billing
Blog Post
Physician Services
Revenue Cycle

Richard Lopez del RinconFebruary 23, 2021

Why CBOs Aren't Financially Viable for Practices

This post is part one of a two-part blog.

 

It’s no secret that over the past few years, physician organizations have faced several significant financial hurdles. From adjusting to value-based care, to serving more and more underinsured patients, to the most recent financial hit: ...

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Article
Billing
Physician Services
Revenue Cycle

Drew BoxerOctober 28, 2020

Physicians Practice: Thriving Through Better Claims and Collections

Current revenue cycle management (RCM) processes in some practices may be well established, but there is always room for improvement and optimizations.

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Billing
Blog Post
Physician Services
Quality Programs

Lynn Guerrant BSN, MSFebruary 28, 2020

Independent Practice Survival in a Value-Based Environment

With the advent of MACRA, CMS has begun to shift healthcare reimbursement from fee-for-service to one based on achievement of value-based metrics.  The goals of Value-based care are to improve care quality and lower costs.  Independent providers must overhaul their financial and clinical processes to ...

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Billing
Blog Post
Coding

Jessica ShortDecember 9, 2019

Independent Providers: How to Reduce Four Billing and Coding Errors

For modern medical practices, financial health is often challenged due to shrinking reimbursements and increased scrutiny over coding practices. Although medical billing and coding errors are usually from minor mistakes, these common errors can add up to a lot of lost revenue over the years and, for ...

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Billing
Blog Post
Coding
Physician Services

R1 RCMSeptember 16, 2019

Four Questions You Should Ask Your Revenue Cycle Partner

With updated rules and a newly pruned reimbursement landscape, the uncertainty associated with the future of healthcare has not been made any clearer. In fact, the current environment may have seemed to muddy the waters further, making it even more difficult for healthcare institutions and independent clinicians ...

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Billing
Blog Post
Patient Satisfaction
Revenue Cycle

Joe PolarisAugust 26, 2019

Revenue Cycle Improvements Lead Path to Patient Satisfaction

Although patient-centered strategies are a common topic of debate in hospitals and health systems these days, it’s striking how seldom revenue cycle factors into the discussion. The lack of correlation between financial conversations and patient satisfaction is especially interesting given the prevalent role of ...

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