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. …
Credentialing And Contracting Checklist
Credentialing your physicians and obtaining contracts with payors are critical steps to expanding your care ability and access …
Payor Enrollment Vs. Credentialing
The healthcare system in our country is far from intuitive. This leads to confusion when seeking to grow …
Payor Contracting Glossary
Practice managers and physicians encounter endless terms, acronyms, and organization names through their lengthy education and training, even …
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 …
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 …
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 …
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 …
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 …
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 …
