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CMS Proposes Major Overhaul to Readmission Penalties: What HIM Professionals Must Know
CMS is proposing five major changes that will significantly affect hospitals' readmission management strategies, requiring essential adjustments to prevent readmissions..webp)
Medicare Administrative Contractors: Oversight Shortfalls and Appeals System Flaws
The U.S. Department of Health and Human Services’ Office of Inspector General (OIG) recently published a critical audit report highlighting major compliance failures among Medicare Administrative Contractors.
Revenue Cycle Analytics: Transforming Healthcare Performance through Data-Driven Insights
As practices face increasing pressure from rising denials, reimbursement complexities, and regulatory scrutiny, leveraging analytics across the revenue cycle is no longer optional—it's a necessity.
How Pre-Visits Help Improve Patient Care and Scale Profits
From streamlining workflows to enhancing patient outcomes and improving reimbursement rates, pre-visits are proving to be a win-win for both providers and patients..webp)
Tackling the Challenge of Medical Coding Backlogs: A Deep Dive
In this article, we’ll unpack what medical coding backlogs are, why they occur, and how your organization can overcome them with strategic planning and smart resourcing..webp)