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We stay up to date on the ever-changing insurance market's impacts on your specialty for you...because it's basically a full time job in and of itself.

September 27, 2023

All Aboard! New Transparency Bill Heading Down the Track

We’re on a roll—like a runaway freight train. This is the third alert in a row that we are bringing on the topic of hospital price transparency. Though, at this point, it may seem like an obsession on our part, it’s really more of a reflection of how much the transparency issue has been in […]

September 25, 2023

Is Big Better? The Age-Old Question for Anesthesia Providers

Summary Today’s anesthesia providers have choices insofar as the kind of practice they want to join. Each type of practice has its benefits and drawbacks. These determinants are often based on group size. Is joining a bigger practice the right choice for all? Today’s alert digs into that question. Is big better when it comes […]

September 20, 2023

Holmes Heads to the Hospital: Price Transparency Meets Price Inconsistency

Sir Arthur Conan Doyle would have been quite pleased with the story coming out of a respected medical publication this month. It was as if his own creation—the character we all know as Sherlock Holmes—had cracked his latest case in the usual spectacular fashion. Undercover operatives, corporate intrigue and the circumvention of federal law—what more […]

September 18, 2023

Understanding the Importance of Medicare Provider Enrollment

Summary Running a successful anesthesia or chronic pain practice is like a juggler who has added one too many balls to his routine. If you don’t promptly address each clinical or business imperative that arises, utter failure may ensue. One of these imperatives involves Medicare provider enrollment. This is one ball you can’t afford to […]

September 13, 2023

Opening up the Blinds: Transparency Rules for Hospitals

A few months ago, the Centers for Medicare and Medicaid Services (CMS) published a fact sheet that outlines process updates the agency is making to increase compliance with the hospital price transparency requirements. As our readers may recall, the government’s hospital price transparency requirements are authorized by section 2718(e) of the Public Health Service Act, […]

September 11, 2023

The Significance of Customer Service in Anesthesia

Summary There is a tendency in anesthesia to think that all that matters is consistently good outcomes. Nothing could be further from the truth. Customer service is now the key to maintaining a strong and successful relationship with administration. As anesthesia practices evolve and diversify, it becomes increasingly difficult to maintain a consistent level of […]

September 7, 2023

On a Roll: Another Victory for the TMA

For the fourth time in a row, a federal judge has sided with the Texas Medical Association (TMA) in its legal challenges to regulations that implement the federal No Surprises Act (NSA).  The TMA brought another one of its legal actions back in November, alleging that certain provisions of the NSA regulations inappropriately link providers’ […]

September 6, 2023

Transparency Matters: Enhancing RCM Processes in Your Laboratory

Revenue cycle management (RCM) is a crucial aspect of any laboratory’s operations, affecting financial performance and patient satisfaction. However, many labs struggle with inefficient, outdated, or fragmented laboratory billing processes that lead to errors, delays, and lost revenue. Transparency ensures RCM in lab billing uses best practices and takes advantage of upgraded technology to create […]

September 6, 2023

Understanding the Effects of Regulatory Changes on Laboratory Revenue Cycle Management

Compliance is a critical component of comprehensive and efficient revenue cycle management (RCM) in the laboratory industry. With the ever-changing rules and regulations, a diligent laboratory RCM should establish a stringent compliance plan to prevent loss of income due to heavy fines and legal fees. Impact of Regulatory Changes on Lab Billing and Coding Lab […]

September 6, 2023

Regulatory Compliance in Hospital Revenue Cycle Management

Regulatory compliance refers to a healthcare organization’s extensive efforts to ensure they have the appropriate measures and hospital billing processes that enable them to meet all legal and professional obligations.  Maintaining regulatory compliance while managing hospital staff, caring for patients, and ensuring the highest standards of medical treatment is a complex and demanding endeavor that […]