Electronic Health Records

Claims Reimbursement Resources

The Medicare Advantage opportunity: how payers and providers can capitalize on this growing segment

Enrollment in Medicare Advantage (MA) health plans is quickly growing, and providers and payers alike have an opportunity to capitalize on this growing segment. This white paper outlines the industry landscape and considerations for payers and... Download white paper

Infographic: When it comes to HACs, how do you score?

A large U.S. hospital in the lowest performing 25 percent can face $1.1 million in lost reimbursement annually and it’s not much better for mid-sized hospitals. Beyond the financial penalty, poor HAC performance, in comparison to other... Download white paper

Physician Advisor Programs: A Pillar of Thriving Provider Organizations

By making use of external resources that assist in developing, implementing, and maintaining high-quality physician advisor programs, hospitals can improve their financial performance and ensure that patients receive the most appropriate care... Download white paper

Urgent Care Quarterly: Coding Trends 2013-2017

This issue of Urgent Care Quarterly explores coding trends over the last five years as they relate to urgent care. Through a deep dive into ICD-10, CPT, and E/M coding data, it provides insight into the trends and what they mean for... Download white paper

7 Common Missteps in Urgent Care Coding and Billing

7 Common Missteps in Urgent Care Coding and Billing illustrates the connection between treating patients, encounter documentation, and billing, and demonstrates the ways common mistakes can have a huge impact on urgent care revenue. This... Download white paper

Analytics is the Answer to Compliant Coverage Identification

Uncover hidden patient coverage. How do you uncover reimbursement sources for patients presenting as self-pay? New, stringent anti-phishing regulations prohibit traditional eligibility searches, but you can’t afford more accounts slipping... Download white paper

Infographic: Your Claims Management Solution Shouldn’t be the Topic of your Morning Coffee

Don't settle for claims management that is just fine. Read this infographic to see how you can revive your claim workflow and caffeinate your margins. Download white paper

Infographic: Achieving a Better ROI from Claim Status Checking

Monitoring the status of active claims is important in keeping small issues from turning into costly denials. But an even bigger problem is the amount of time wasted by staff members manually checking on claims that are proceeding to payment... Download white paper

Four Steps to Develop, Implement, and Operationalize a Bundled Payment Strategy

The paradigm shift to value-based reimbursement creates increasingly complex reimbursement scenarios for health plans. According to a “Journey to Value” study Change Healthcare commissioned, an overwhelming 97% of health plans and... Download white paper

Reinventing Claims Payment for a Value-Based World

The healthcare industry’s claims-payment system is frustrating to providers, payers, and patients alike. Inefficiency and a systemwide tendency for error wastes resources, worsens miscommunication and mistrust among all stakeholders, and... Download white paper

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