Are You Prepared? Discover the Impact of the New Advanced Beneficiary Notice in Effect for Medicare!

A new Advanced Beneficiary Notice (ABN) is now in effect for Medicare. This ABN will help ensure that Medicare beneficiaries are informed of their rights and responsibilities regarding certain services or items requiring prior authorization. The ABN also outlines the potential financial liability associated with such services or items. It is important to review this…

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How Reference-Based Pricing Impacts Healthcare Expenses: 6 Questions to Answer

Healthcare costs continue to rise as organizations strive to provide quality care to their employees while managing rising costs. Reference-based pricing (RBP) has received significant attention in recent years. With RBP, employers can regain control over their healthcare spending by challenging the traditional reimbursement model. To assess the potential impact of this pricing model on…

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Unlocking Hidden Revenue: Seizing the Reimbursement Opportunity of Transfer DRG Overpayments

The complex world of healthcare reimbursement poses numerous challenges for hospitals and healthcare organizations. Transfer Diagnosis Related Groups (DRG) overpayments are often overlooked. Healthcare providers can unlock hidden revenue streams by understanding the intricacies of Transfer DRG overpayments. To explore Transfer DRG overpayments, and learn how organizations can leverage this valuable reimbursement opportunity, we will…

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