HFMA: New Surprise Billing Regulations - Assessing Patient Network Status

Nick HutJanuary 10, 2022

  • With new surprise billing regulations in place, providers should ensure they have efficient processes for gauging whether a patient is in-network.
  • For some providers, the task may prove to be more trouble than it’s worth in terms of opportunities to balance-bill patients.
  • The ...

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HFMA: Surprise Billing Regulations and How Providers Should Prepare

Nick HutDecember 20, 2021

  • Providers have had a mere three months to implement the processes needed to comply with a new requirement to furnish uninsured patients with good-faith price estimates ahead of services.
  • A key early step for any provider is to determine whether it generally will be the entity responsible ...

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RACMonitor: Terminology Matters – Site of Service and Status

Dr. Ronald HirschDecember 9, 2021

Sudden reversals from CMS on the Inpatient-Only List and Ambulatory Surgical Center Covered Procedures List have infused confusion into the payment process for providers.

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RACMonitor: To Practice or Not to Practice – The Physician Question

Dr. Ronald HirschNovember 30, 2021

To be a full-time physician advisor, an individual must give up their regular clinical medical practice.

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Becker's Hospital Review: Serving as a Trusted Partner to Emergency Departments

Tammy WoodNovember 11, 2021

Tammy Wood, Vice President of Operations at Concord Medical Group, recently recorded a podcast with Becker's Hospital Review where she discusses Concord's evolution as an organization, the importance of maintaining accurate clinical documentation in emergency departments, and the impact the No Surprises Act ...

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American Physician Partners Announces Revenue Cycle Partnership Extension with R1 to Support Its Continued Growth in Emergency Medicine Market

R1 RCMOctober 25, 2021

MURRAY, UTAH – October 25, 2021 – R1 RCM Inc. (NASDAQ:RCM), a leading provider of technology-driven solutions that transform the patient experience and financial performance of healthcare providers, announced today that

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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 ...

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Group Practice Journal: Work Smarter Not Harder - Emerging from the Pandemic Positioned for Growth and Stability

Vijay KotteSeptember 1, 2021

Rebounding from the extreme financial strains of COVID-19 requires a hard look at your revenue cycle and how it is maintained: Where are the opportunities to improve patients’ experiences and address their demands to “go contactless”? How can your revenue cycle and front-office teams work efficiently? Are you ...

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Medical Economics: Use Technology to Avoid Surprises from the No Surprises Act

Kathryn BeardAugust 17, 2021

As an industry, healthcare is moving from its highly complex, opaque landscape to one centered around transparency and delivering clear and straightforward ...

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MGMA: Preparing the Revenue Cycle for Value-Based Care

Dan DooleyJuly 12, 2021

Dan Dooley, Vice President of Physician Services at R1, recently recorded a podcast with MGMA where he discusses what practices need to do to prepare the revenue cycle for the rise of value-based care and what the biggest challenges are when adapting to these reimbursement models. Dan also ...

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