Key Takeaways Practices exploring outsourced credentialing RCM improvements should know that accurate payer enrollment data prevents denials before claims are ever submitted. MGMA data attributes...
Key Takeaways Parallel processing of credentialing and payer enrollment, rather than sequential steps, shortens total time-to-billing by 45 to 60 days for a new provider....
Key Takeaways Eligibility verification at every visit, not appeals or coding fixes, is the fastest way to stop Medicaid coverage churn from turning into denied...
Key Takeaways Sinus surgery reimbursement recoupment happens when payers reprocess paid FESS claims, apply reductions retroactively, and offset the difference against a practice’s current remittances....
Key Takeaways Spravato REMS billing compliance is a payment prerequisite — a practice must be a REMS-certified healthcare setting, with an enrolled prescriber and enrolled...
