Unleashing Revenue Potential: Innovative Solutions for Hospital Financial Success Article originally published in Becker’s Healthcare Healthcare organizations have long struggled to manage complex revenue cycles, from tracking down payments to ensuring...
Streamlining Compliance with the No Surprises Act Understand Provider-Payer Responsibilities The No Surprises Act (NSA) is a new law that protects patients from unexpected medical costs. It was enacted in 2021 and came into enforcement in 2022. It has two...
Exploring Successful Strategies to Change Payer Behavior Article originally published in Becker's Healthcare While many hospitals are operating in negative margins, payers are bringing in record revenues and profit margins. And healthcare organizations have fallen...
To access this video, register to become a verified viewer on Corro Clinical. Register Now.A Strategic Approach to the Clinical Revenue Cycle by Dr. Jerilyn Morrissey Chief Medical Officer, CorroHealth Originally published March 2, 2023 on Becker's Hospital Review...
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...
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OIG Raises Concerns About Service and Payment Denials Under Medicare Advantage Plans According to CMS, almost 37% of all Medicare beneficiaries will enroll in Medicare Advantage plans in 2019. In addition, the market remains very attractive to insurers who plan to...
Over the last few years, there has been a trend toward automating the medical necessity UR screening process using software to extract clinical data and either apply commercial criteria or create an acuity score. As I have strolled across trade show floors, I see...
In 2013, the Centers for Medicare and Medicaid Services (CMS) finalized the “Two-Midnight” Rule addressing when beneficiary hospitalizations are appropriate for inpatient payment under Medicare Part A. CMS adopted the “Two-Midnight” Rule to simplify the beneficiary...
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