Resources & Insights | Page 13 of 16

MACRA: Mockery or Makeover?

MACRA (Medicare Access and CHIP Reauthorization Act) will impact almost every healthcare provider. Two new methods of reimbursement will emerge.

Provider Enrollment & Credentialing

Healthcare Credentialing Documents Checklist

To save time in the medical credentialing process, review this list of the documents which are typically requested by most insurance plans.

Provider Enrollment & Credentialing

Medical Credentialing Software vs Outsourcing Credentialing

Moving to medical credentialing software or outsourcing credentialing will save time, effort, and improve the accuracy of your credentialing.

Provider Enrollment & Credentialing

What is Physician Credentialing?

Physician Credentialing organizes and verifies a doctor's professional records, a vital safeguard for patient safety and risk management.

Medical Billing

What Is an NPI Number, and Why Do You Need One?

An NPI number is a unique ID issued to each healthcare provider in the U.S. It's required by CMS and every health plan for correspondence and to pay claims.

Medical Billing

The Benefits of Outsourcing RCM

By outsourcing their Revenue Cycle Management (RCM), hospitals can focus on spending more time on treating patients instead of correcting claims.

Provider Enrollment & Credentialing

Applying for Hospital Privileges: What Physicians Need to Know

Before a physician’s hospital privileges are granted, medical credentialing must occur. Both are lengthy and complicated processes.

Provider Enrollment & Credentialing

Common Medical Credentialing Mistakes That Cost Time And Money

Here are the top 3 credentialing issues in healthcare that cost time and money for providers and hospitals.

Provider Enrollment & Credentialing

What is Medical Credentialing?

Medical credentialing is a review of a health provider's qualifications, including career history, education, training, residency, licenses, and more.

Revenue Cycle Management

Robotic Process Automation in Healthcare – An Introduction

Robotic Process Automation (RPA) improves the efficiency, accuracy, and speed of billing and reimbursement (Revenue Cycle Management).

Denial Management

7 Most Common Reasons for Denied Claims

Eighteen percent of in-network claims are typically denied by payers. The good news is, most denials can be avoided through best practices.

Revenue Cycle Management

Automating RCM Reporting with AI-RPA

In part 1 of this series, Robotic Process Automation Revolutionizes the Healthcare Revenue Cycle, we examined how Advantum’s Robotic Process Automation (RPA) achieved...