Start Preparing Now for the CMS Appropriate Use Criteria (AUC) Program

Maddie CorriganSeptember 28, 2021

The imaging market in the United States is estimated to generate more than $100 billion annually. While approximately 60% of the imaging volume is conducted within hospitals, ...

Read More

Becker's Hospital Review: Financial Resilience and Providing Quality Care in a COVID-19 World

Dr. Maurice AllgeierSeptember 22, 2021

Dr. Maurice Allgeier, Vice President of One Pediatrics, recently recorded a podcast with Becker's Hospital Review where he discusses how an independent practice can maintain financial resiliency during COVID-19 and why integrated care models are more important than ever. Dr. Allgeier specifically covers how ...

Read More

For The Record: Avoid Prior Authorization Denials with Front-End RCM

Connie SmithSeptember 8, 2021

The cost and administrative burden associated with prior authorizations is not new, nor is it getting better for physicians or health systems. According to MGMA, provider practices report a 

Read More

Journal of AHIMA: Appeals, Denials, HIM and Utilization Review - A Winning Combination

Dr. Ronald HirschAugust 23, 2021

Many claim that people in the United States have access to the best healthcare in the world. And while that is easily refuted with data from multiple sources, there is no question that the United States has one of the most complex healthcare delivery systems in the ...

Read More

RAC Monitor: Rebilling Non-Medicare Inpatient Claims

Dr. Ronald HirschMarch 26, 2021

It is crucial to understand the differentiation between a denial for lack of medical necessity and a denial for incorrect status.

Read More

Getting the Greatest ROI from Revenue Cycle Automation

Philip MilsomMarch 10, 2021

A year after operating margins dipped into negative numbers and YOY revenues decreased as much as

Read More

RACMonitor: Shared Decision-Making for Defibrillators

Dr. Ronald HirschJuly 24, 2019

Read More