Did the recent government shutdown have any effect on the healthcare industry? The correct answer here is that it did – and it may have led to a large backlog…

Throughout 2018, a new trend emerged in healthcare – surgical centers. Although these centers, which are designed solely for outpatient surgeries, have been around for many years, quite a few…

Recent headlines include details on recent lawsuit won by Blue Cross Blue Shield (BCBS) over a series of underpayments on emergency room care in Texas. The lawsuit alleged that BCBS…

Out of network billing is a huge issue for hospitals and clinics, because of the complications involved in the process. A recent law was signed into place in New Jersey…

To put it simply, surgical centers are places where outpatient surgeries of all kinds take place. Experts are predicting that the need for these surgical centers will grow in the…

According to a recent article, commercial health insurance companies, also known as the “payers” in this situation, have been targeting out of network claims lately. This means that many of…

The revenue cycle is incredibly important to hospitals and clinics, many of which run on very thin margins. There are many things to pay for, including patient care, supplies, machinery,…

Did you know that there are three common CBO (Central Billing Office) mistakes? When your hospital or clinic makes them, then you’re setting yourself up for future issues when it…

Out of network claims are some of the most complicated commercial healthcare claims to collect on. Although these claims do fall under the Federal ERISA laws, they tend to go…

According to the experts, hospitals in the United States were saddled with 38.3 billion dollars worth of uncompensated care in 2016. This marked the first year in four where that…