Some of the latest industry headlines center around revenue cycle management. This is a careful balance between sending out claims and appeals to commercial health insurance companies and patients while…

All around the country, surgical centers are popping up or getting purchased by larger networks. This is a very good thing for both patients and the health care system in…

Managing your hospital’s finances is tough these days, thanks to things like medical appeals that usually end up on the wrong end of the balance sheet. In a perfect world,…

Commercial health insurance claim denial percentages can vary. Some practices or hospitals only have to deal with a small amount of them – 5% for example. For others, that percentage…

Anyone who’s read the paperwork that comes with their health insurance policy is no doubt aware of the differences between in network and out of network appointments and procedures. These…

Over the last ten years, countless physicians’ offices have been snapped up by hospitals and larger networks. These officers were added in order to simplify the provider process, which is…

Federal ERISA appeals are one way that hospitals can recover money owed to them. Once those three state-level appeals are exhausted, it’s time for ERISA appeals. However, many hospitals aren’t…