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How well do you know your payer contracts? Understanding their terms and requirements are crucial to maximum reimbursement, but that’s no easy task. Confusing legal language and lengthy agreements are more than enough to cause discomfort and even reluctance to really delve deep into what each contract entails.

As the last gyrations over the 2020 election move to the sidelines and the new Biden/Harris Administration names its Health Team – what can healthcare executives, professionals, and systems expect in 2021?

If you’re new to ImagineSoftware or have employees that are, you may need a refresher (or recommendations) on how to best utilize your insurance and denial ticklers for maximum effectiveness.

Out of the $262 billion denied claims submitted by health organizations last year, 90% of them were avoidable. You’ll see a lot of other writers call that 90% “hidden revenue”, but it’s not really hidden, is it? It’s easy money. At least it is if you have the right solutions in place.

It’s a challenge that gets more complex every year—how to cost-effectively address patient collections, whether they are true self pay or pay after insurance has been applied. The increasing cost of health insurance has resulted in the proliferation of high-deductible plans as an option to lower premiums; this has resulted in increased patient responsibility which has ballooned the least efficient financial class.

The concept of omni-channel payments has been around for several years now. Many large retailers pioneered the concept to develop conveniences we use today in our everyday lives, i.e. buy-online and return in-store.

A fundamental consumer expectation in any financial transaction is being able to answer one simple question- how much will this cost? Unfortunately for the consumer, many hospitals and health care systems lack the ability to do so.

CMS (Centers for Medicare and Medicaid Services) released the MPFS (Medicare Physician Fee Schedule) Proposed Rule for the 2021 calendar year on August 4, 2020. The most significant change to specialty physicians is an 11.9 percent decrease in the Conversion Factor from $36.09 in 2020 CY to $32.36 in CY 2021.

Efforts to contain the Coronavirus has reached into many industries and caused large scale disruption which will have ramifications for months to come.

With many organizations employing a remote workforce, cyber criminals are working overtime to steal valuable company data and cripple healthcare companies when they are needed most. February saw a 21% month over month increase in data breaches, and a 231% increase in breached records – meaning that more records were breached in February than in the last three months combined.