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.