Tackling Prior Authorization Challenges: Strategies for Providers

Managing prior authorizations has become increasingly burdensome for healthcare providers. Insurers continually expand the range of services requiring pre-approval to ensure their necessity and cost-effectiveness. However, the process has become overly complex, particularly with the shift towards value-based care. Providers find themselves overburdened with the task of collecting and submitting extensive medical documentation, awaiting approval, […]

Struggling to Optimize Your Cardiology Practice’s RCM Workflow?

Struggling to Optimize Your Cardiology Practice’s RCM Workflow? Is Outsourcing the Right Solution? Cardiology medical billing is a complex process that requires specialized knowledge and expertise. It involves collecting, processing, and submitting claims to insurance companies in order to get paid for the services provided. The cost of in-house billing can be expensive and time-consuming. […]

RCM: Key Metrics and Benchmarks for Healthcare Professionals

Did you know that tracking specific metrics and benchmarks can drive your practice’s financial performance? Discover the key indicators that can revolutionize your revenue cycle management (RCM) and propel your success! Days in Accounts Receivable (AR): Optimize cash flow by reducing the number of days it takes to collect payments. First pass Claim Acceptance Rate: […]