The Risky Business of Risk Adjustment Coding and Auditing
The world of risk adjustment is tricky – but critical to ensuring payers are fairly compensated for covering patients who are more likely to incur high healthcare costs. With risk…
Leveraging Technology to Overcome Risk Adjustment Barriers
The pandemic-era risk-adjustment challenges facing healthcare payers and risk-bearing providers are numerous, and they are not limited to the persisting economic impacts of COVID-19. Technology is vital to overcoming current…
Safety-Net Hospitals Face Mounting Revenue Cycle Challenges
The financial challenges inherent to safety-net hospitals have only been magnified by the COVID-19 pandemic, the mass job departures known as the Great Resignation and rising inflation. Safety-net hospitals, which…
Mitigate Healthcare Staffing Shortages by Outsourcing RCM
The impacts of the healthcare labor shortage on providers’ revenue cycles and overall financial well-being have been widely detailed. While there is no magic cure for these staffing shortages, one…
Why the Nuances of RCM Matter for Managed Care
One of the goals of managed care is cost reduction. Still, with expenses rising and reimbursements declining, it's essential for healthcare providers to link their managed care and revenue cycle…
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