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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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Fighting for Physicians! How a Healthcare Consultant Can Help You Survive the Latest Medicare Pay Cuts

Could your medical practice be in danger of closing its doors?  This threat could be real, especially if you’re a physician who accepts Medicare. In December, President Joe Biden signed a $1.7 trillion end-of-year spending package into law, which, in part, cuts Medicare payment to physicians. The omnibus was initially passed by Congress to avoid

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Why Do I Need a Billing Assessment?

A Billing Assessment, also called a Revenue Cycle Assessment, is important for any organization, whether small or large, because there are many “red flag areas” that can potentially reduce cash flow, present compliance risks, and impact efficiencies. What’s Involved in a Billing Assessment? From patient demographics, insurance verification, charge entry, coding, electronic claims submission, payment

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