Insights and Innovations in Revenue Cycle Management
Top 9 Metrics Every Freestanding ER Should Track
Freestanding emergency rooms (ERs) are vital healthcare facilities providing critical care services outside the traditional hospital setting. To ensure their efficiency and profitability, freestanding ERs must monitor key performance metrics. Tracking the right...
Top Strategies to Improve Medical Billing Efficiency
Medical billing is a critical component of the healthcare revenue cycle. When managed effectively, it can improve cash flow, reduce denials, and streamline operations. However, inefficiencies in medical billing can lead to delays, errors, and a decrease in revenue,...
7 Ways Coding Automation Can Help Capture Reimbursement
In today’s fast-paced healthcare environment, ensuring accurate coding is critical for capturing appropriate reimbursement. As coding guidelines continue to evolve, healthcare providers are increasingly turning to coding automation to enhance efficiency, accuracy, and...
Rising ER Wait Times Reflect Larger Health System Challenges
Emergency room (ER) wait times are on the rise across the U.S., signaling deeper systemic issues in the healthcare industry. Despite a 12% decline in ER visits from 2019 to early 2022, the median time patients spend in the ER has increased from 2 hours and 15 minutes...
The Power of Analytics in Improving Healthcare Services
In today's rapidly evolving healthcare landscape, data analytics has emerged as a powerful tool for driving innovation and improving patient care. By leveraging the power of analytics, healthcare providers can gain valuable insights into their operations, patient...
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...
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