In today’s evolving healthcare landscape, financial stability is a growing concern for healthcare providers. With rising administrative costs, increasing payer scrutiny, and complex reimbursement policies, managing medical billing in-house is becoming increasingly challenging. As we approach 2025, the demand for faster, more efficient payments is greater than ever, driving many healthcare providers to explore outsourcing […]
the payer giant is accused of forcing physician groups out of network to lure them to its subsidiary, Optum. UnitedHealth is the target of a lawsuit by Envision Healthcare and several other physician practices, who claim the country’s largest health insurer engages in a nationwide practice of low reimbursement rates for providers to force […]
An organization’s denial rate is a good barometer of its overall financial health and the soundness of its revenue cycle. A recent survey details how organizations stack up. Although most organizations do a good job of tracking denials by reason, payer, and volume, they miss the mark when communicating information about appeals, appeal success […]