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 […]
Why Zero Balance Reviews Are a Must for Every Organization Read More »
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 Outdated terms and
Contract Negotiation Secrets for Providers Read More »
Outdated revenue cycle processes are more than just a nuisance — they’re a liability. Manual workflows, siloed systems, and paper-based tasks drain valuable resources and delay reimbursements, creating frustration for staff and patients alike. Your practice has likely faced mounting pressure to modernize your organization’s operations. And nowhere is that modernization more urgently needed than
Smart Ways to Use Tech in Revenue Cycle Management Read More »
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
Provider Shortages: A Crisis Impacting Revenue & Patient Access Read More »
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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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,
Mastering Denied Claims: A Step-by-Step Recovery Guide Read More »
Navigating 2025 Reimbursement Changes: What Providers Need to Know As most of you are probably aware, Medicare has implemented several changes affecting specialists’ reimbursement, primarily through adjustments to the Medicare Physician Fee Schedule (MPFS). The Centers for Medicare & Medicaid Services (CMS) have released a conversion factor of $32.35 for the calendar year (CY) 2025,
Navigating 2025 Reimbursement Changes: What Providers Need to Know Read More »
