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Avoiding common credentialing pitfalls with Robotic Process Automation

Abstract: Accuracy is critical when it comes to credentialing. And with more than 85 percent of applications currently done online, physicians are heavily dependent on technology and automation. While...

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Physicians Share Fears Surrounding Good Faith Estimates

WEDI survey results reveal No Surprises Act convening provider requirement poses significant challenges. The post Physicians Share Fears Surrounding Good Faith Estimates appeared first on TriZetto...

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What Payviders Need to Know About Maximizing Reimbursement

Industry experts believe that the number of payvider organizations will grow as more healthcare organizations look to diversify payment models and expand patient-centric capabilities. The value-based...

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Safety First: Managing Enrollments Properly through PECOS

The Provider Enrollment, Chain, and Ownership System - commonly known as PECOS – is the go-to online enrollment management system. It allows registered users to enroll as a Medicare provider or...

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Revenue Cycle Outsourcing: Intertwining Process with Technology to Improve...

Outsourced services, including medical billing, is expected to reach $29.3 billion by 2030. As digitization within #healthcare streamlines workflows, practices need to adopt advanced RCM tactics or...

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Solving Medicaid Redetermination at Scale

It’s imperative for payers and providers to launch re-enrollment initiatives to ensure continuous care and protect revenues when hundreds of thousands of patients are being disenrolled for procedural...

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