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High deductible health plans (HDHPs) have shifted the already-complex payer reimbursement burden onto the shoulders of consumers who are unprepared to bear it. Consumers, on the one hand, need increased support to understand their bills and figure out how to…

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Health systems are painfully aware of the complexities of revenue cycle management and understand the need for RCM partners. In fact, 93% of health systems rely on at least one RCM partner. But there are different reasons for pursuing RCM…

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Medicare and Medicaid administration can be nightmarishly complicated with interconnected programs and requirements. Even for those well-versed in the fundamental rules, hidden pitfalls can lead to significant financial gains or losses, often in the millions. The silver lining is that…

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Battling cost pressures and staffing shortages leaves little time for hospitals and health systems to go after reimbursable dollars. But forgoing this revenue can cost millions. Rather than leave this money on the table, learn to leverage artificial intelligence to…

Operating margins at academic medical centers have declined sharply in recent years, yet these institutions continue to play a pivotal role in advancing clinical innovation and delivering cutting-edge care. This paradox highlights the resilience and ingenuity of AMCs as they…

Claims denials are draining healthcare resources to the tune of $200 billion annually. This financial reality can undermine health systems’ mission to deliver exceptional patient care while burdening both clinical and revenue-cycle teams. Download this guide to uncover innovative tools…

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