How to Make Sure Your Claim Isn’t Denied by Your Clearinghouse
As we continue along the revenue cycle journey, it's now your last chance to prevent a denial before you submit your claim for payment. Understanding how the clearinghouse works and how it fits into the claims process helps ensure your claim isn’t rejected later by insurance payers.
Explore moreThe Self-Insured Healthcare Market – What You Don’t Know Can Hurt You
According to a 2009 CDC report, in the 1990s there were approximately 175 million Americans covered by commercial insurance with about 40 percent (70 million) in self-insured plans. Compare that to a 2019 report showing that commercial coverage was down to 154 million, but the number of people participating in self-insured plans had increased to 92 million, constituting 60 percent of the commercial total.
Explore moreNextGen® Advisors Podcast - Coronavirus and the Flu, Can We Cope with Both?
In this podcast, the Advisors discuss the impact of the ongoing pandemic overlapping with flu season.
Explore moreRationale and Requirements for Clinical Integration
Well before the passage of the Affordable Care Act in 2010, providers have been joining together in an effort to better manage the care of a specific patient population by setting up a clinically integrated network, or CIN.
Explore moreNextGen® Advisors Podcast: Provider Incentive Programs – Pros and Cons
Health plans employ a variety of incentive programs in an attempt to influence provider behavior.
Explore moreEvidence Shows Mitigation Measures Reduce the Spread of COVID-19
On October 6, the Centers for Disease Control and Prevention (CDC) published a morbidity and mortality weekly report that contains encouraging news that community mitigation measures were found to be successful in reducing the spread of COVID-19.
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