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What Is NCQA Certification?

What Is NCQA Certification?

Verifying medical credentials is an essential consumer safety component of the health care system. To safely administer health care for their patients, organizations must verify the qualifications of their licensed medical providers by assessing their background and...
MACRA: Mockery or Makeover?

MACRA: Mockery or Makeover?

In April 2015, Congress eliminated the SGR (Sustainable Growth Rate) — the formula used to calculate Medicare payments to healthcare providers. In its vacancy came the newly proposed Quality Payment Program and MACRA (Medicare Access and CHIP Reauthorization Act of...
The Benefits of Outsourcing RCM

The Benefits of Outsourcing RCM

Healthcare is a challenging and constantly changing field, and for those who work in upper management, such as hospital administrators, CEO’s, CFO’s, or CTO’s, navigating this complex arena is part and parcel of the job. One of the most challenging aspects of being in...