Tricare Contractor Changes for 2025: What You Need to Know Posted on December 19, 2024December 19, 2024 Understand the key changes to Tricare’s administrative contractors, including the transition of six states to the West region and the shift in claims processors.
The Potential Impact of the Election on FDA’s LDT Final Rule Posted on December 6, 2024December 6, 2024 The election results raise many questions about potential changes to FDA’s enforcement priorities.
Leveraging AI to Tackle Staffing Challenges in 2025 Posted on December 2, 2024December 2, 2024 How utilizing AI and Predictive Intelligence can help solve RCM workforce woes
Overcoming UHC Denials for Multiple Units of 88342 and 88341 Posted on November 6, 2024November 6, 2024 Adhering to UHC’s MUE guidelines, improving documentation, and reviewing appeals can help pathology labs boost reimbursement.
Key Updates in Medicare’s 2025 Physician Fee Schedule Final Rule Posted on November 6, 2024November 6, 2024 The 2025 CMS PFS final rule is set to impact healthcare providers. Learn about the reimbursement changes and how they might affect your practice.
Building Successful Lab-Payer Partnerships: The Market Access Dating Game Posted on October 15, 2024October 15, 2024 Similar to dating, laboratories need to synchronize their objectives and motivations with payers to form effective partnerships.
Turning Adversity into Action: Why Superior Service Matters in Times of Crisis Posted on September 12, 2024September 12, 2024 Why a proactive approach is vital during critical times and key aspects to consider when choosing a reliable revenue cycle vendor.
How UnitedHealthcare’s Gold Card Program Simplifies Prior Authorization Posted on September 9, 2024September 9, 2024 The country’s largest commercial health insurer revealed details about its new program aimed at reducing unnecessary costs.
Unlocking Success: Early-Stage Lab Commercialization Checklist Posted on August 20, 2024August 20, 2024 Careful planning and strategic collaboration with a revenue cycle partner are essential for a successful kickoff to the commercialization process.
Maximizing Revenue Cycle Efficiency with Expected Reimbursement Strategies Posted on August 15, 2024August 19, 2024 Integrating expected reimbursement into RCM software enables real-time comparisons and automates denial management for effective AR oversight.