Enrollment status can greatly affect the dollar amount payers reimburse, and some specialists are opting to go out of network. We weigh the pros and cons of this trend to explain why it may make sense for select providers.
With two more states recently joining the list of locations that allow Full Practice Authority, many nurse practitioners are exploring the option of operating independently. As the need for qualified healthcare professionals continues to grow and the ability for NPs to practice independently continues to increase, quickly gaining credentials and navigating compliance challenges becomes more and more important.
72 million Americans have some sort of trouble paying medical debt. Much of this can be attributed to unexpected bills that pop up after unforeseen emergency visits and treatment from out-of-network providers. Thanks to new regulation, surprise medical bills may soon be a thing of the past.
In today’s ASC Environment, providers are constantly looking for ways to improve workflows, provide impeccable patient care and become financially healthy. Our partner, ShareableForms shares their best practices on how to improve efficiencies that your patients, staff and bottom line will be grateful for.
With healthcare costs on the rise and an increasing segment of uninsured consumers, the patient payment landscape is changing rapidly. How can medical offices evolve and optimize collections while keeping patient satisfaction high? Thankfully advancing technologies are making it easy to simplify collection processes to increase revenue.
When it comes to optimizing operations, automation is key. According to the CAQH Index report, the healthcare industry can save more than $16 billion by transitioning to fully electronic transactions. Discover the opportunities for healthcare providers to enhance operational processes and grow their business.
With vaccinations on the rise and many Americans returning to work and school, what’s ahead for healthcare? We spoke with Bobette Flagel, Director, RCM Services at TriZetto Provider Solutions, for a deep dive into the pandemic’s impact on claim volume, billing & operations. Hear lessons learned over the course of the last year, plus easy-to-implement best practices that can help practitioners move forward.
To comply with Medicare revalidation requirements, providers need to be aware of the requirements and timelines. If deadlines are missed or submissions are incomplete, providers can be terminated from the program and required to reapply. Until a new application is processed and approved, which can cause delays and disrupt the revenue cycle.
Nearly half of U.S. states allow nurse practitioners to operate on their own, and credentialing is a critical component for those looking to establish their own practices. What do nurse practitioners need to know before becoming a standalone provider, and what is the simplest way to gain credentials?
MIPS reporting is complicated and can negatively affect your reimbursement if ignored. So how can providers mitigate the stress and financial risk that comes with this new program? Health eFilings, a TPS platinum marketplace partner and national leader in automated MIPS reporting, provides tips and tricks to help practices optimize their scores and Medicare reimbursements.
A new CMS rule is changing the patient experience. What can healthcare organizations do to navigate this change and work toward improving the overall patient experience? Read on to hear best practices and learn what’s coming next for patients.
The need for mental health services has been placed at the forefront because of pandemic-related stressors, but specialists often find that gaining credentials can be a complicated process. Discover tips and solutions that can make it easier.
Telemedicine, staffing issues and other changes caused by the COVID-19 pandemic are uprooting the way medical practices are managed. Obviously healthcare has been thrown through a loop this past year, and healthcare professionals are eager for a return to normalcy. How can practices navigate the unknown and succeed in 2021?
Health plans require all in-network physicians to submit current credentials to the Council for Affordable Quality Healthcare (CAQH) database. Learn more about the highly manual, time-consuming application, and the required quarterly updates for re-attestation can be onerous.
Did you know that three percent of net revenue loss is caused by denials? With the profound changes in healthcare this year, how can providers stay ahead of their revenue cycle while managing the day-to-day needs of patients?
Many patients have put off non-critical medical appointments in recent months as the unknowns of the COVID-19 pandemic kept us at home. For optometrists, this means routine eye exams and contact lens prescriptions were put on hold.
Hospitals are empty. Empty in a way many never thought possible or expected. There are few, if any, elective surgeries taking place today as hospitals and health systems work to diagnose, treat and save those with coronavirus.
It’s safe to say that healthcare practitioners are well aware of the importance of credentialing. Beyond the legalities required of practicing physicians, credentials are needed for a practice’s revenue cycle to function properly.