Insights and Innovations in Revenue Cycle Management
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...
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...
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