December 30, 2024

Data and Out-of-Network Claims: Understanding the Landscape

Navigating the complexities of in-network and out-of-network reimbursement is a critical challenge for healthcare providers. While these terms are often framed from the patient’s perspective, understanding their implications from the…

December 30, 2024
December 13, 2024

The Hidden Impact of Payor Transparency on Provider Revenue

Healthcare transparency is reshaping the way providers approach revenue cycle management (RCM). The federal mandate requiring insurers and self-funded health plans to publish machine-readable files has unlocked a treasure trove…

December 13, 2024