Reference-Based Pricing Model is Disrupting Healthcare Models: Who Benefits?

Healthcare cost containment has changed forever with reference-based pricing (RBP) – although it has come with a lot of disruption. In addition to saving companies a lot of money, reference-based pricing impacts employee satisfaction. Self-funded healthcare refers to employers taking care of their own claims rather than paying for premiums through a carrier. Third-party administrators…

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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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