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Tag: claim submission guidelines

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Optimizing Healthcare Revenue: Unraveling the Synergy between Medical Billing and Coding

Key Takeaways Medical billing submits claims using CPT and ICD codes while revenue cycle management extends upstream to include eligibility verification, prior authorization, and patient...

Optimize Efficiency: Clearinghouse in Medical Billing Explained

Key Takeaways A clearinghouse pre -screens claims for errors and reformats them to payer – specific EDI requirements before submission — claims that bypass a...

Key Trends in Healthcare To Watch Out For in 2026

For most organizations, December calls for a time for reflection and planning ahead. Within the constantly evolving healthcare industry, it is vital to keep pace...

Essential Points for Improving Revenue Cycle Management

Key Takeaways Automated systems for patient data collection at pre -registration reduce downstream eligibility errors — manual data entry at registration is the origin point...

Neolytix Identifies an Average of $341K in Payer Contract Revenue Opportunities — Get Your Assessment Done Today

Illinois HB 1085 Simplified

How BH Practices Can Capture the Multiple Revenue Streams It Unlocks

HB 1085 sets a permanent 141.7%-of-Medicare reimbursement floor for Illinois commercial behavioral health plans renewing on or after January 1, 2027. It opens several revenue opportunities that do not unlock automatically. Join us to learn what you need to do before January 1 to capture all of them.
Jay Reeser
Jay Reeser
VP Payer Analytics (ex-Cigna, UHC)
Brian Morefield
Brian Morefield
Director, Business Development