AC3’s Post

Tuesday Tips: A Look Inside the Four Most Common Value-Based Care Arrangements. Payers have several different value-based care arrangements they can offer, including pay-for-performance programs, bundled payment models, and capitation. MedCom can help you have successful negotiations with Payers. Let us be your experts at the table so you can focus on patient care. We provide a unique combination of clinical expertise and proprietary technology to help medical service providers meet rapidly escalating and changing medical billing demands. For over 35 years, our chargemaster, pricing, and compliance solutions have yielded hundreds of millions in net revenue for healthcare providers across the country. Contact us today at: ☎ 412.481.7710 or [email protected] Visit our website for our full list of services: www.medcomsolutions.com #tuesdaytips #contractnegotiations #revenuecyclemanagement #wecanhelp #contactustoday

Charting the Course to Healthcare Excellence: Payer Services Market Projected to Surpass USD 140 Billion by 2032. Witness the evolution of healthcare financing and administration. More: https://lnkd.in/gyQtHwd5 #HealthcarePayers #MarketProjection #HealthcareServices #FutureHealthcare

Read on for the main takeaways from our fantastic panelists at the Medicare Advantage Summit related to Enhancing Access, Making the Caregiver Experience Easier, Negotiating Win/Win Terms, and more. This is the basis of a sophisticated yet practical plan to create differentiation in performance and market position. #medicareadvantage #access #healthcarestrategy

Sums it up pretty well! CFOs must ramp up their strategies to combat rule-breaking payers and protect their bottom lines. Payers don’t negotiate in “good faith”, they use leverage…and so should providers. No surprise that CFO’s are struggling with Payers negotiations. Learn how to maximize your leverage at the negotiating table. 👉 https://lnkd.in/g7wRfVFb #EllsworthConsulting #HealthcareInnovation #ConsultingServices #HealthcareLeadership #PayerNegotiations #HealthcareConsulting https://lnkd.in/gNfMuciC

One of the most persistent challenges faced by #healthcare providers is the issue of lagging payer #reimbursements. Delays in these #payments can significantly affect the cash flow of healthcare facilities, leading to budgetary constraints and potentially impacting #patientcare. Read more- https://lnkd.in/ge6veGga

A very nice article highlighting and summarizing 'real world' insights and strategies for success in #MedicareAdvantage by leading healthcare organizations, including Henry Ford Health. Worth the read!

Timely claims submission is of paramount importance in the healthcare industry, playing a crucial role in the financial health and operational efficiency of healthcare providers. #medicalbilling #outsourcemedicalbilling #medicalbillingservices #outsourcemedicalbillingservice #medicaltranscription #outsourcemedicaltranscription #paymentposting #outsourcepaymentposting #claimsubmission #outsourceclaimsubmission #denialmanagement #outsourcedenialmanagement #insuranceverification #eligibilityverification #insuranceeligibilityverification #outsourceeligibilityverification #outsourceinsuranceeligibilityverification #outsourcehospitaltranscription #outsourceradiologytranscription #outsourceradiologystattranscription #emr #emrdataintegration #emrdatamaintenance #emrdatamanagement #ehr #ehrdataintegration #ehrdatamaintenence #ehrdatamanagement https://lnkd.in/dFXPGe5X

Prior Authorization is designed to prevent unnecessary expenses. However, the current complexities of prior authorization create challenges for payers, impacting both financial implications and administrative burdens. Delve into the nuances of prior authorization, exploring its effects on payers and unveiling best practices for a more sustainable and efficient healthcare system. #priorauthorization #payer #payers https://lnkd.in/gYtPeg3a

Hey healthcare payers! Want contracts that are always by the book? Conga #CLM makes it easy. Get the ultimate guide to CLM for healthcare payers: https://okt.to/gtT82L #healthcare #contracts #healthcarepayer

Essential reading for healthcare payers! Discover how the Payer-to-Payer API, mandated by CMS, can revolutionize data-sharing among insurers. This Fierce Healthcare article breaks down the top five questions to help you leverage this technology for better compliance and care coordination: https://hubs.la/Q02JYcqd0 #HealthcareData #CMSMandate #DigitalHealth #payers