Straight-Through Billing
Medical billing complexity and massive volumes of daily claims render manual claims processes incapable of protecting both the provider and the payer from underpayments, overpayments, and billing compliance violations. Straight-Through Billing (STB) addresses complexity and volume processing problems by automating the majority of the claim flow and focusing the billing follow-up specialists on exceptions only. […]
No-Show Risk Management
When patients miss appointments, they interrupt the flow of patient care, impede clinic productivity, and signal an eroding patient loyalty. The rate of no-shows runs at 30% for the average family practice. A missed appointment amounts to missed billing revenue. Worse, if clinicians are part-time or full-time staff rather than contracted, they sit idle on […]
Change Healthcare Outage Updates
Update – April 18, 2024 We want to update you on the current service interruptions related to our connections with Change Healthcare (CHC). We are actively monitoring the situation and have implemented several measures to mitigate the impact on your services. The way in which we connect to CHC is still down. We are testing […]
AI for outcomes-based compensation in healthcare
What is outcomes-based compensation in healthcare? Compensation plans in the healthcare industry have undergone a paradigm shift, with more providers moving away from volume-based to outcome-based compensation for their employees. This is partly attributable to the rising healthcare costs and enhanced patient empowerment, with a growing need for better quality of service delivery (Zigrang, 2022). […]