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Are Providers Ready for the No Surprises Act?
Are Providers Ready for the No Surprises Act?

Article originally published on Beckerspayer.com Monday, December 12th, 2022  Are Providers Ready for the No Surprises Act?   The No Surprises Act (NSA) had several top stories from 2022 including the recent Department of Health and Human Services...

Aergo Solutions Joins CorroHealth
Aergo Solutions Joins CorroHealth

ISELIN, N.J., May 25, 2022 /PRNewswire/ — Aergo Solutions, backed by Northstar Capital, has joined CorroHealth. The acquisition by CorroHealth, backed by The Carlyle Group, expands targeted RCM service offerings to the market.

Aergo Solutions Joins CorroHealth
ParaRev Joins CorroHealth

CHICAGO–(BUSINESS WIRE)–ParaRev, a leader in healthcare accounts receivable (AR) recovery and resolution management, has joined CorroHealth. Backed by Housatonic Partners, a San Francisco and Boston-based private equity firm, ParaRev was acquired by CorroHealth, backed by The Carlyle Group, to expand targeted RCM service offerings to the market.

Bulletin 14 – CMS updates to MCPM Ch. 30

CMS Issues Update to the Medicare Claims Processing Manual Chapter 30 Section 200: Financial Liability Protections Overview On January 21, 2022, CMS released a Medicare Learning Matters (MLN) announcing a change request (CR 12546), resulting in substantial edits to...

Bulletin 13 – OPPS

Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System Final Rule Overview On November 2, 2021, CMS released the anticipated CY 2022 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center...

What Your Denial Rate Is Not Telling You
What Your Denial Rate Is Not Telling You

Let’s talk about denials, a frequent and often unpleasant topic in Utilization Management (UM). One of the core beliefs of most UM teams is that denials are bad, and most of UM teams’ efforts are spent trying to prevent or reduce denials. You may have even purchased...

Bulletin 12 – OPPS

 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System Proposed Rule Overview On July 19, 2021, CMS released the anticipated CY 2022 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical...

Are Providers Ready for the No Surprises Act?
Are Providers Ready for the No Surprises Act?

Article originally published on Beckerspayer.com Monday, December 12th, 2022  Are Providers Ready for the No Surprises Act?   The No Surprises Act (NSA) had several top stories from 2022 including the recent Department of Health and Human Services...

Bulletin 16 – CMS 2023 IPPS & LTCH Final Rule

On August 1, 2022, CMS released the FY 2023 Hospital Inpatient Prospective Payment System (IPPS) and Long Term Care Hospitals (LTCH PPS) Final Rule (CMS–1771–F), which was finalized and became effective on November 1, 2022.

Aergo Solutions Joins CorroHealth
Aergo Solutions Joins CorroHealth

ISELIN, N.J., May 25, 2022 /PRNewswire/ — Aergo Solutions, backed by Northstar Capital, has joined CorroHealth. The acquisition by CorroHealth, backed by The Carlyle Group, expands targeted RCM service offerings to the market.

Aergo Solutions Joins CorroHealth
ParaRev Joins CorroHealth

CHICAGO–(BUSINESS WIRE)–ParaRev, a leader in healthcare accounts receivable (AR) recovery and resolution management, has joined CorroHealth. Backed by Housatonic Partners, a San Francisco and Boston-based private equity firm, ParaRev was acquired by CorroHealth, backed by The Carlyle Group, to expand targeted RCM service offerings to the market.

Bulletin 14 – CMS updates to MCPM Ch. 30

CMS Issues Update to the Medicare Claims Processing Manual Chapter 30 Section 200: Financial Liability Protections Overview On January 21, 2022, CMS released a Medicare Learning Matters (MLN) announcing a change request (CR 12546), resulting in substantial edits to...

Bulletin 13 – OPPS

Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System Final Rule Overview On November 2, 2021, CMS released the anticipated CY 2022 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center...

Don’t Use Denial Rate to Measure a Payer’s Performance
Don’t Use Denial Rate to Measure a Payer’s Performance

By Jerilyn Morrissey, MD Regardless of who your team reports to on the organization chart, there is no getting around the fact that Utilization Management (UM) is part of the clinical revenue cycle of your organization. Embracing that concept may challenge your...

What Your Denial Rate Is Not Telling You
What Your Denial Rate Is Not Telling You

Let’s talk about denials, a frequent and often unpleasant topic in Utilization Management (UM). One of the core beliefs of most UM teams is that denials are bad, and most of UM teams’ efforts are spent trying to prevent or reduce denials. You may have even purchased...

Bulletin 12 – OPPS

 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System Proposed Rule Overview On July 19, 2021, CMS released the anticipated CY 2022 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical...

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Turning AI Promise Into Real Progress in Healthcare
Turning AI Promise Into Real Progress in Healthcare

How to Turn AI Promise into Real Progress in Healthcare AI adoption in healthcare has accelerated, but the gap between enthusiasm and practical results is still wide. As health systems move into 2026, leaders are shifting their attention from theoretical potential to...