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Blog posts by melody-jajou

Navigating Revenue Challenges in Healthcare with Limited Resources: A Comprehensive Guide

Healthcare facilities of all types and sizes have long faced staffing challenges and posed questions about staff retention and efficiency. The industry’s recent challenges, including the pandemic, the Great Resignation, and staff burnout, have further exacerbated the issue. Staffing roles in the revenue cycle can be particularly challenging due to high stress, long hours, and […]

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Navigating United Healthcare’s Recent Colonoscopy Charges Changes

The recent changes to UnitedHealthcare’s colonoscopy coverage have sent shockwaves through the medical community. Gastroenterologists and patients alike are grappling with the implementation of a controversial process called prior authorization, which has the potential to create barriers to essential diagnostic and surveillance colonoscopies. The Impact of UnitedHealthcare’s Policy UnitedHealthcare’s decision to require prior authorization for […]

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Partnering with an Experienced Revenue Cycle Management Leader for Higher ROI

The Shift Toward RCM Partnerships in the Healthcare Industry In today’s rapidly changing healthcare landscape, revenue cycle management (RCM) plays a pivotal role in maximizing return on investment (ROI) for healthcare providers. As per the latest research from the esteemed 2023 Black Book healthcare survey, the industry as a whole is increasingly turning toward third-party […]

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What to Know About Orthopedic Medical Billing

Orthopedics is a branch of medicine concerned with musculoskeletal conditions like bones, joints, ligaments, and tendons. Billing for orthopedic services involves complicated processes, rules, and resolutions. Therefore, it’s essential to understand the nuances of orthopedic medical billing to avoid costly mistakes that affect your bottom line. Eliminating orthopedic billing and coding errors creates a healthy […]

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Why Outsource Your Orthopedic Medical Billing Services?

For orthopedic facilities, a solid revenue cycle management process is crucial to financial success. With complex clinical needs and medical billing, you need a billing team with a thorough knowledge of the nuances in orthopedics and expertise in the specialty’s billing and coding. Outsourcing medical billing services is the best solution to achieving your bottom-line […]

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Last Minute Changes: Congress Comes Through in the Clutch

In the closing days of December, Congress passed a massive spending bill that made multiple revisions to previous federal health provisions. The $1.7 trillion omnibus spending package included a moderation in Medicare provider pay cuts that had been previously mandated by the 2023 Medicare Physician Fee Schedule (PFS) Final Rule (FR).  The bill also contained […]

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