Payor Contracting

Legacy Consulting Services branded image featuring a patient registration form, stethoscope, tablet displaying healthcare analytics charts, and pen, representing healthcare revenue cycle management, credentialing, and performance reporting.

The Healthcare Metrics That Reveal Revenue Risk Before It Hits Your Bottom Line

Leave a Comment / Credentialing, Data Analytics, Healthcare Consulting, Payor Contracting, Revenue Cycle Management /

Healthcare leaders are surrounded by data, but the challenge is knowing which numbers actually reveal financial risk before it reaches the bottom line. A hospital or health system can have hundreds of thousands of dollars in delayed or at-risk revenue before Days in A/R materially increases. The earliest warning signs often appear upstream — in […]

The Healthcare Metrics That Reveal Revenue Risk Before It Hits Your Bottom Line Read More »

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

Leave a Comment / Business, Consulting Services, Healthcare Consulting, Increased Cash Flow, Medical Billing, Medicare Reimbursement, Payor Contracting, Process Improvement, Provider Enrollment or Credentialing Services, Reimbursement Analysis, Revenue Cycle Management, Revenue Cycle Matters /

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

Leave a Comment / Data Analytics, Healthcare Consulting, Increased Cash Flow, Medical Billing, Medicare Reimbursement, Payor Contracting, Process Improvement, Provider Enrollment or Credentialing Services, Reimbursement Analysis, Revenue Cycle Management, Technology in Healthcare /

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 »