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The Growing Frustration with Payers: How Claim Denials Impact Healthcare Providers

The Growing Frustration with Payers: How Claim Denials Impact Healthcare Providers

by QMACS | Mar 17, 2025 | Revenue Cycle Management

Claim denials continue to be a major source of frustration for healthcare providers, leading to financial strain, administrative burden, and delays in patient care. Despite efforts to streamline reimbursement processes and improve payer-provider relationships,...
The Future of RCM: Navigating the Surge in Outsourced Revenue Cycle Solutions

The Future of RCM: Navigating the Surge in Outsourced Revenue Cycle Solutions

by QMACS | Mar 10, 2025 | Revenue Cycle Management

The revenue cycle management (RCM) industry is rapidly evolving, with market projections estimating that the RCM vendor market could reach nearly $1 trillion globally within the next decade. According to a recent report by HealthLeaders, the increasing complexity of...
8 Revenue Cycle Management Trends to Watch in 2025

8 Revenue Cycle Management Trends to Watch in 2025

by QMACS | Feb 10, 2025 | Revenue Cycle Management

As the healthcare industry continues to evolve, revenue cycle management (RCM) must adapt to new challenges and opportunities. In 2025, trends like patient-friendly billing, AI-driven automation, and regulatory changes will reshape how healthcare providers manage...
7 Ways Coding Automation Can Help Capture Reimbursement 

7 Ways Coding Automation Can Help Capture Reimbursement 

by QMACS | Oct 21, 2024 | Revenue Cycle Management

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...
Ensuring Compliance and Transparency: QMACS’ Commitment to Accurate Revenue Cycle Management

Ensuring Compliance and Transparency: QMACS’ Commitment to Accurate Revenue Cycle Management

by QMACS | Aug 1, 2024 | 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...
Insights from EDPMA’s Survey on Noncompliance Challenges and Data Findings Under the No Surprises Act

Insights from EDPMA’s Survey on Noncompliance Challenges and Data Findings Under the No Surprises Act

by QMACS | Jun 13, 2024 | Revenue Cycle Management

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...
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  • The Hidden Costs of Under-Coding in Emergency Medicine
  • Navigating Out-of-State Emergency Billing: Smart Tips for Interstate Claims
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  • The Future of Medical Billing: Top Trends to Watch for
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