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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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Unraveling the RCM Maze in Behavioral Health

Behavioral health revenue cycle management (RCM) has many unique challenges that can significantly impact cash flow and operational efficiency.  There are several levels of care, including outpatient treatment, detox services, intensive outpatient programs (IOP), partial hospitalization programs (PHP), and residential treatment facilities (RTF). Managing the behavioral health revenue cycle needs more than a standard approach.

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Prior Authorization Reform

Reforming Prior Auths: A Turning Point

Reforming Prior Auth: A Turning PointSeen by many as crucial to efficient healthcare delivery and timely reimbursement, prior authorization reform is gaining momentum—and providers need to be ready. Will 2025 Be the Year We Fix the Prior Authorization Delays? In the ever-evolving world of healthcare reimbursement, prior authorization delays have become one of the most

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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 by Preparing for a Cycle Assessment

Maintaining a strong revenue cycle is critical for ensuring financial stability, optimizing cash flow, and delivering exceptional patient care.  A revenue cycle assessment helps healthcare organizations find weak areas, improve workflows, and increase cash collections. But to make the most of this valuable process, preparation is essential! That’s why we created a simple guide about

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Simple Strategies to Improve Cash Flow in Your Practice

Keeping the cash flowing in your medical practice can be tough. Slow payments, disorganized billing, and unpredictable revenue make managing expenses or investing in patient care challenging. But don’t worry: improving cash flow doesn’t have to be complicated! Legacy Consulting Services has the right strategies to help you tackle these challenges head-on and set your

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Billing Integrity Audits: A Guide for Healthcare Practice

In today’s healthcare world, billing integrity audits protect the practice from potential risks and enhance its overall efficiency.  These audits identify errors, such as incorrect coding, duplicate charges, or unbilled services, which can lead to revenue loss or overbilling.  Accurate billing ensures the practice collects the full reimbursement it is entitled to, improving cash flow

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Essential KPIs Every Healthcare Provider Must Track

In today’s fast-paced healthcare industry, tracking the right Key Performance Indicators (KPIs) is essential for optimizing operations. This data ensures patient satisfaction and maintains financial health. Whether you run a small clinic or a large hospital, KPIs show where you can improve and help you make decisions. At Legacy Consulting Services, our experienced team helps

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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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Weighing-In on Weight-Loss Medications: Navigating Regulations for Ozempic and Mounjaro

Weight-loss drugs, like Ozempic and Mounjaro, are creating a buzz and offering new hope for patients struggling with obesity. Originally approved for treating type 2 diabetes, these medications have quickly gained popularity for obesity treatment and general weight loss, despite their high prices and limited insurance coverage. The once-a-week injections are so popular that pharmacies

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