Business

Why Zero Balance Reviews Are a Must for Every Organization

If you’re not performing Zero Balance Reviews (ZBRs), you could be leaving money on the table. Worse yet, you might be missing patterns of underpayment, denials, or contractual misinterpretations that cost your organization thousands or more. In this blog, we’ll walk you through what zero balance reviews are, why they matter, and how they can […]

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Contract Negotiation Secrets for Providers

Most providers don’t have the time—or desire—to get into the weeds of payor contracting. Contracts are signed, stored away, and rarely looked at again. But those agreements still control how you get paid today. If your contracts haven’t been reviewed in a few years, chances are you’re due for a serious update. Outdated terms and

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Provider Shortages: A Crisis Impacting Revenue & Patient Access

The healthcare industry is facing a significant crisis: a shortage of providers.  This shortage has far-reaching effects, not just on patient care but also on the financial health of healthcare organizations. From delayed revenue to overworked staff, the ripple effects of fewer providers are being felt across the board.  Here’s why it’s more than just

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Mastering Denied Claims: A Step-by-Step Recovery Guide

Denied claims can be a major roadblock in the revenue cycle processes of any healthcare organization.  In a 2024 report, 38% of survey respondents said at least one in ten claims is denied.  It is not unusual for an organization to see claims denied more than 15% of the time!  Why does this matter?  Well,

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Maximize Revenue, Minimize Stress: The Benefits of Outsourcing Medical Billing

The healthcare industry faces increasing administrative demands, with medical billing often being one of the most challenging tasks. For many providers, the time spent on billing detracts from their primary mission: delivering quality patient care.  This blog explores why outsourcing medical billing could be a game-changer for healthcare providers. Why Healthcare Providers Should Consider Outsourcing

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Brace for Impact: CMS Proposes Cut to Physician Payments

The Centers for Medicare & Medicaid Services (CMS) dropped a bombshell in July: they released their proposed rule for next year’s Medicare physician fee schedule. The big news? They’re planning to slash physician payment rates by 2.8%! Industry groups are already up in arms, insisting that physician reimbursement needs to keep pace with inflation. Here’s

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Value-Based Care to Soar in 2024

Value-based healthcare is beginning its anticipated acceleration in 2024. This model is all about making sure patients get the best care possible while keeping costs in check in a tough healthcare environment. Instead of just paying for every service a patient receives, regardless of how effective it is, value-based care focuses on the outcomes of

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The Vital Role of Credentialing and Provider Enrollment Services

Are you facing significant hurdles with provider enrollment and credentialing? Is this negatively impacting your cash collections?   We understand and we hear it every day.   With streamlined and efficient provider enrollment processes, physicians can focus on healing and saving lives, while patients receive quality care. Keep reading to learn how Legacy Consulting Services brings significant

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One Size Doesn’t Fit All: Customizing a Financial Plan for Your Healthcare Practice

In the dynamic landscape of healthcare, managing the financial health of your medical practice is paramount for sustainable growth and effective patient care. Legacy Consulting Services has the proven expertise to provide customized solutions to navigate revenue cycle management.  The Challenge for Revenue Cycle Management Healthcare practices face many challenges in maintaining robust financial health.

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Navigating the Maze: The Impact of Changing Coding, Billing, and Reimbursement Guidelines

In the dynamic landscape of healthcare, where coding, billing, and reimbursement guidelines are in a constant state of evolution, healthcare administrators, medical billing specialists, and practice managers find themselves facing a wide array of challenges. Staying ahead of these changes is not just a necessity but a strategic imperative. Challenges Faced by Healthcare Professionals 1.

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