Insights

A Look At 5 Healthcare Technology Trends To Anticipate For 2023

By Raul Neyra / December 20, 2022 / Comments Off on A Look At 5 Healthcare Technology Trends To Anticipate For 2023

Reading Time: 4 minutesThe healthcare industry has been traditionally much slower than other industries at adopting the newest digital technologies. Amid the coronavirus pandemic, the healthcare industry has been moving into a more collaborative, personalized and value-based model that takes patient preference as the main focus. According to a March 24 McKinsey report, the consultancy rounded up 10 […]

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Payer Contract Renegotiations: Improving Your Negotiating Skills

By Raul Neyra / October 27, 2022 / Comments Off on Payer Contract Renegotiations: Improving Your Negotiating Skills

Reading Time: 5 minutes  Timely and correct reimbursement is always top of mind for a healthcare provider. However, many providers are leaving money on the table due to infrequent payer contract renegotiations. Due to the nature of payer contracts, which includes fee schedules, reimbursement requirements, as well as conditions payers must meet for timely reimbursement. Therefore, payer contract […]

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Social Determinants of Health and It’s Utilization in Healthcare

By Raul Neyra / October 13, 2022 / Comments Off on Social Determinants of Health and It’s Utilization in Healthcare

Reading Time: 4 minutesUtilization of Social Determinants of Health in Healthcare   Social determinants of health (SDOH) refer to the non-genetic and non-medical conditions in the places people live, learn, work and play that affect health and quality-of-life risks and outcomes. Factors such as economic stability, education, food, housing, transportation, community, and social situations all feed into the social […]

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OIG Exclusion List – What Is It and How Can It Affect Your Practice?  

By Raul Neyra / October 5, 2022 / Comments Off on OIG Exclusion List – What Is It and How Can It Affect Your Practice?  

Reading Time: 4 minutesThere are many rules and regulations around accepting Medicare, Medicaid, and other federal healthcare programs. And if you are a practice that accepts and bills for these federal government programs, it is your responsibility to ensure you are protecting patients from things such as fraud and abuse. To that end, you need to know the […]

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Medical Staffing Shortages Continue Into 2023

By Raul Neyra / August 15, 2022 / Comments Off on Medical Staffing Shortages Continue Into 2023

Reading Time: 3 minutesThe pandemic has been blamed for many of the problems happening in the world; however, it didn’t cause the shortage of healthcare workers. It did, however, compound it in a big way. It is estimated that nearly one in five healthcare workers has resigned since March 2020.    Not only is there a severe shortage of […]

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Patient Access to Their Records is the Law

By Raul Neyra / August 1, 2022 / Comments Off on Patient Access to Their Records is the Law

Reading Time: 3 minutesWe have all heard of HIPAA, and most of us associate it with the safekeeping of personal health information collected by providers, healthcare practices, and facilities. However, the HIPAA Privacy Rule also mandates that you provide adequate access to patients to information found in “a designated record set” or their medical records. The rule allows […]

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Billed Right - Medical Billing Company

Orlando-based Revenue Cycle Management Company Billed Right Acquires Miami-based Medical Billing Company Ruffe Systems, Inc. (RSI).

By Raul Neyra / April 26, 2022 / Comments Off on Orlando-based Revenue Cycle Management Company Billed Right Acquires Miami-based Medical Billing Company Ruffe Systems, Inc. (RSI).

Reading Time: 2 minutesOrlando, Florida, April 26, 2022 – Billed Right, a nationwide Revenue Cycle Management company founded in 2006, headquartered in Longwood, Florida, announced today the acquisition of Miami-based medical billing company RSI. “We are thrilled to add RSI to our Billed Right family as we are both driven by the same values of building long-term partnerships, […]

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Questions to Ask When Hiring a Medical Billing Company

10 Questions to Ask When Hiring a Medical Billing Company

By Raul Neyra / April 15, 2022 / Comments Off on 10 Questions to Ask When Hiring a Medical Billing Company

Reading Time: 3 minutesThe healthcare landscape has changed considerably over the last couple of years thanks to COVID-19. Whether your practice lost revenue due to a reduction of in-person visits, you are struggling with the Great Resignation situation or both. Your goal at this point is to figure out how to lessen expenses, increase staff, and maintain a […]

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Correctly Handling Medical Balance Write-offs

Correctly Handling Medical Balance Write-offs

By Raul Neyra / March 29, 2022 / Comments Off on Correctly Handling Medical Balance Write-offs

Reading Time: 3 minutesYou and your staff work hard taking care of patients and deserve to be compensated for your efforts. With third-party payers, uninsured patients, or ones with high deductible insurance, there are unfortunately times when you have to write off some, or all of the charges, for a visit. Medical billing is complicated enough without adding […]

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Need for Prior Authorizations Continues to Increase

MGMA Poll Shows Need for Prior Authorizations Continues to Increase

By Raul Neyra / March 15, 2022 / Comments Off on MGMA Poll Shows Need for Prior Authorizations Continues to Increase

Reading Time: 3 minutesA recent poll by MGMA showed that 79% of those polled indicated that prior authorizations (PA) requirements had increased when asked “How did payer prior authorization requirements change in the past 12 months?”. Only 19% said they stayed the same and 2% stated they had decreased. They also noted significant challenges associated with the increase […]

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