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reimbursement

couple talking to fertility provider who chose to outsource fertility clinic billing

10 Reasons to Outsource Fertility Clinic Billing

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Key Takeaways on Why to Outsource Fertility Clinic Billing Fertility practices face unique challenges. Billing challenges included. Bundled services, complex payer rules, and detailed coding make fertility billing demanding. Not every clinic wants to handle billing these challenges. That’s why many clinics outsource fertility billing to specialized revenue cycle management billing partners.  By outsourcing, clinics […]

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What Is Medicare Split Billing (Split Claim Billing) & How to Do It

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Key Takeaways on Split Billing For Medicare patient visits, medical billing staff sometimes need to submit separate claims for professional and technical charges to the Centers for Medicare & Medicaid Services (CMS) for reimbursement, even if the charges apply to a single visit. The same applies to some state Medicaid claims submitted to states. Billers

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Provider talking to colleague about the importance of accurate cost reporting in healthcare

Accurate Cost Reporting in Healthcare and Why It Matters

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Key Takeaways for Cost Reporting in Healthcare Medicare and other cost reporting in healthcare is critical for determining reimbursements and protecting the financial stability of rural health clinics (RHCs) and rural hospitals.  Success depends on three essentials. Together, these elements give rural healthcare organizations like yours the foundation to stay financially strong and compliant, even

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how does 340B represented by close up of female provider holding prescription pad and pen

How Does 340B Work? A Guide for Rural Healthcare Leaders

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Key Takeaways on How 340B Works The federal 340B Program is a drug price control program. It lets qualifying facilities purchase outpatient drugs at 20 to 50% below the average manufacturer price. In this article, we answer “how does 340B work?,” who qualifies, and what 340B participation can mean for your rural healthcare facility and

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Computer and phone screen showing components of a revenue cycle dashboard

How a Healthcare Revenue Cycle Dashboard Supports Financial Health

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Key Takeaways on a Revenue Cycle Dashboard Healthcare revenue cycle management (RCM) is no small task. Constantly changing requirements, regulations, and complex processes make it laborious and error prone.  But you have to make revenue cycle management second only to patient care to survive. In this article, we share why a healthcare revenue cycle dashboard

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Provider looking at young girl's throat; her practice is part of a clinically integrated network

Understanding a Clinically Integrated Network

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Key Takeaways on Clinically Integrated Networks A clinically integrated network, or CIN, is a structured alliance of hospitals, clinics, and/or providers. Members work together around shared quality outcomes, coordinated care, and collective payer strategy. For independent and rural healthcare organizations, a CIN offers a way to improve performance. It also helps reduce unneeded cost variations,

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Small hospital to represent what is a critical access hospital

What Is a Critical Access Hospital and Why They Matter

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Key Takeaways on What Is a Critical Access Hospital A critical access hospital, or CAH, is a small rural hospital that meets federal criteria to receive cost-based reimbursement from Medicare. These hospitals keep emergency and essential inpatient services available in communities too small to support a full acute-care facility. They provide 24×7 emergency care, short-stay

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