Designing Smart Networks: Thinking Beyond Adequacy in Expansion Markets

Payors looking to expand into new markets, at a minimum, need to meet regulatory requirements like network adequacy. …

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Credentialing And Contracting Checklist

Credentialing your physicians and obtaining contracts with payors are critical steps to expanding your care ability and access …

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Payor Enrollment Vs. Credentialing

The healthcare system in our country is far from intuitive. This leads to confusion when seeking to grow …

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Payor Contracting Glossary

Practice managers and physicians encounter endless terms, acronyms, and organization names through their lengthy education and training, even …

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RCM Software vs. RCM Outsource, Which Is Better?

Managing the billing, claims, and collections of a healthcare practice is a tedious process that many companies choose …

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Why Experience is Key To Successful Network Expansion

Expanding your health plan is a complicated process with many pitfalls and CMS’ ever-shifting standards. Without mentioning the …

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Understanding Revenue Cycle Drivers in Your Health System

Billing and claim filing play critical roles in keeping your medical practice financially healthy, but beyond tracking accounts …

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Keys to Expanding Your Provider Network

Health plans are only as good as the providers they’ve contracted with. A strong network of specialists creates …

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6 Reasons to Outsource Your Revenue Cycle Management

It may feel safer to keep as much in-house at your private practice as possible to ensure you …

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4 Mistakes Network Development Teams Make With Strategy

Network development teams have to handle a lot of cross-talk, changing regulations, rotating personnel, and endless data streams …

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