Insights and Innovations in Revenue Cycle Management
Outsourcing Medical Billing Can Benefit Freestanding ERs
Freestanding Emergency Rooms (ERs) play a crucial role in providing emergency medical care to communities nationwide. However, managing the financial aspect of these facilities, especially medical billing, can often be complex and time-consuming. This is where...
Ensuring Compliance and Transparency: QMACS’ Commitment to Accurate Revenue Cycle Management
In light of the recent CMS audit of Aetna, which highlighted significant compliance issues under the No Surprises Act, QMACS is reaffirming its commitment to supporting healthcare providers with accurate and transparent revenue cycle management (RCM). The audit...
Understanding the No Surprises Act’s Independent Dispute Resolution Process
The implementation of the No Surprises Act (NSA) has introduced critical avenues for healthcare stakeholders to navigate disputes involving out-of-network (OON) billing. Offering a lifeline to patients who may find themselves caught in the crossfire of billing...
Insights from EDPMA’s Survey on Noncompliance Challenges and Data Findings Under the No Surprises Act
The Emergency Department Practice Management Association (EDPMA) recently shared important data findings related to the No Surprises Act. This release provides valuable insights into the state of compliance and challenges faced under this legislation. Let's delve into...
Best Practices in Physician Documentation Education
Well beyond the stethoscopes, white coats, hectic schedules, and patient loads, there is a crucial aspect often overlooked: physician education, specifically around documentation. From medical school to continuous professional development, a physician's journey is...
Emergency Medicine – Best Practices Guidelines
Free-standing ERs are at the forefront of today’s rapidly evolving healthcare landscape. Understanding and implementing TRUE best practices is proven to ensure short-term and long-term profitability. Proper billing and coding practices and processes are...
Traits to Look for in Your Revenue Cycle Partner: A QMACS Perspective
Whether you are a physician practice, hospital, or medical billing company, finding the right revenue cycle partner is crucial for reducing costs and improving efficiency. Partnering with a reputable revenue cycle management company like QMACS can be a game-changer...
IDR Submission and How to Be Proactive
As the healthcare landscape continues to evolve, so does the process of submitting an Independent Dispute Resolution (IDR) request. The IDR process is an essential tool for resolving payment disputes between healthcare providers and insurers, providing an opportunity...
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