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Billing and Claims Management

Whether you work with just a few payers or dozens, it's crucial that you work efficiently. These resources can help.

  • Medicare and Medicaid could face dramatic change

    Medicare and Medicaid could face dramatic change

    Changes are around the corner now that a new administration is in place. Medicare and Medicaid will be under scrutiny as legislators consider their future.

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  • Value-based care: burden or benefit?

    Value-based care: burden or benefit?

    With the uncertain future of the Affordable Care Act (ACA), it’s hard to know which features of the program, if any, will be preserved.

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  • Looking into the unknown: a 2017 healthcare preview

    Looking into the unknown: a 2017 healthcare preview

    With a major change in political leadership, healthcare policy is up in the air. Congress will tackle its plans for reshaping the industry in January.

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  • President signs landmark mental health reform

    President signs landmark mental health reform

    As part of the 21st Century Cures Act, mental health reform has become law with the president’s signature in December 2016. It’s the most significant mental health reform in more than 50 years.

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  • Avoid patient coverage surprises after Open Enrollment

    Avoid patient coverage surprises after Open Enrollment

    Open enrollment can create uncertainty and costly oversights for every healthcare provider. Here's what you can do to avoid patient coverage surprises.

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  • What’s to become of the Affordable Care Act (ACA)?

    What’s to become of the Affordable Care Act (ACA)?

    With "repeal and replace" of the Affordable Care Act a campaign mantra, speculation abounds about whether and how this can be accomplished. Time will tell.

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  • Questions about ACA’s future don’t change current open enrollment needs

    Questions about ACA’s future don’t change current open enrollment needs

    The election has thrown the future of the ACA into question, but open enrollment for 2017 is underway now and providers must be ready.

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  • NAHC notes: what’s happening in home health?

    NAHC notes: what’s happening in home health?

    ABILITY Network leaders returned from the annual NAHC conference on home health and hospice in October with some insights into key industry issues.

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  • New health insurance eligibility game plans needed for 2017

    New health insurance eligibility game plans needed for 2017

    Medical providers would be wise to start thinking about insurance eligibility as the start to 2017 promises to be especially challenging.

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  • Catching Insurance Changes

    Catching Insurance Changes

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  • A positive side to changing payment models   

    A positive side to changing payment models   

    Changing payment models are coming, but post-acute days are projected to increase. SNFs that prepare now will be well positioned for the future.

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  • ABILITY | EASE® Medicare

    ABILITY | EASE® Medicare

    This powerful Medicare revenue cycle management tool automates time-consuming Medicare eligibility verification and Medicare claims processes, and provides operational insights through analytics.

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  • 5 ways to use analytics to improve the Medicare RCM workflow

    5 ways to use analytics to improve the Medicare RCM workflow

    See 5 ways your organization can apply Medicare analytics to maximize reimbursements. Revenue cycle management can be improved quickly.

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  • The Unwelcome Surprise: Patient Insurance Changes

    The Unwelcome Surprise: Patient Insurance Changes

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  • Savings from Accountable Care Organizations continue adding up

    Savings from Accountable Care Organizations continue adding up

    Accountable care organizations saved $466 million in 2015, and smaller ACOs were actually more likely to hit their targets.

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  • RAC auditors tell it like it is

    RAC auditors tell it like it is

    Read about "Confessions of a RAC Auditor" from the recent CONNECT conference to learn tips for managing RAC audits.

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  • How admissions staff are improving the patient experience

    How admissions staff are improving the patient experience

    Today, admissions reps often perform tasks that billers used to perform. The industry must adapt to ensure a strong patient experience.

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  • Webinar: Maximize your Medicare reimbursement with NEW, advanced tools22:38

    Webinar: Maximize your Medicare reimbursement with NEW, advanced tools

    Looking for a Medicare billing software that lets you automate the time-consuming steps of checking claims? This video will show you how it’s done.

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  • Medicare Advantage enrollees face challenges getting accurate network information

    Medicare Advantage enrollees face challenges getting accurate network information

    Data shows that Medicare Advantage provider directories are often inaccurate, leading to patient errors in determining Medicare Advantage eligibility.

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  • Survey finds CIOs increasingly relying on SaaS

    Survey finds CIOs increasingly relying on SaaS

    157 healthcare IT leaders said in a survey that healthcare SaaS options are helping them meet their challenges.

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