White papers
Optimizing Risk Adjustment Strategies for Growth in 2024-25
July 23 - 2024
As we look ahead to 2024-2025, the landscape of healthcare risk adjustment is poised for significant growth and transformation.
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Enhancing Accuracy and Efficiency in Risk Adjustment
July 23 - 2024
Access and leverage cutting-edge analytics to uncover opportunities within your membership data. Enhance the accuracy of your Risk Adjustment Factor with...
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Case study - Effective Management of Denials for Orthopedic and Revenue Impact
May 22 - 2024
Wave Online is a leading provider of Revenue Cycle management services, dedicated to helping health ...
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Strategies for Reduced Rejections and Improved Clean Claim Ratios.
February 29 - 2024
Key Strategies to Minimize Claim Rejections and Enhance Clean Claim Ratios. ...
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Quality Assurance (QA) ensures patient safety, better outcomes, and optimized US healthcare delivery.
February 29 - 2024
CMS Quality Initiatives: The Centers for Medicare & Medicaid Services (CMS)...
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Strategies to Prevent Upcoding and Downcoding Pitfalls in Healthcare
February 29 - 2024
Explore the complexities of medical coding in our latest article, 'Mastering Coding Integrity...
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Navigating the Future of Healthcare: Unleashing Value in a Value-Based Care Paradigm
February 12 - 2024
In the ever-evolving landscape of healthcare, a recent report illuminates strategic imperatives for...
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Primary care acquisitions - Exciting strides in healthcare
February 12 - 2024
Primary care acquisitions are proving to be transformative, advancing the journey towards value-based care. By fostering collaboration...
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Value-Based Care Dominance
February 11 - 2024
Value-Based Care Dominance: A growing emphasis on reimbursement models tied to patient outcomes rather than fee-for-service. Incentivizes healthcare providers to focus...
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For health plans in the Affordable Care Act (ACA) market, assessing the impact...
February 11 - 2024
For health plans in the Affordable Care Act (ACA) market, assessing the impact of the Notice of Benefit and Payment...
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Navigating the Future of Healthcare Quality Reporting: ACOs Take Center Stage
Januvary 11 - 2024
The landscape of healthcare quality reporting is evolving, and Accountable Care Organizations (ACOs) are...
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Several denial trends in the healthcare industry can drive reduced revenue and...
January 11 - 2024
Several denial trends in the healthcare industry can drive reduced revenue and higher costs for providers.
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Utilization review management plays a crucial role in the healthcare industry.
December 30 - 2023
Utilization review management plays a crucial role in the healthcare industry, contributing to the efficiency, quality,
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Unlock the Potential of Your Lab with Efficient Revenue Cycle Management Services!
December 30 - 2023
Labs and healthcare units often face challenges in billing and revenue management, leading to significant...
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Enhancing Healthcare Quality: A Focus on HEDIS Measures.
December 19 - 2023
In the pursuit of delivering exceptional healthcare, we're committed to achieving excellence across a spectrum of HEDIS measures. These metrics...
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Medical billing is a complex process that involves the submission and processing of...
December 19 - 2023
Medical billing is a complex process that involves the submission and processing of claims to ensure healthcare...
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Value-Based Integrated Healthcare Solutions play a significant role in mitigating...
December 15 - 2023
Value-Based Integrated Healthcare Solutions play a significant role in mitigating risks within the...
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Transparency and collaborative efforts between healthcare providers and payers...
December 09 - 2023
Transparency and collaborative efforts between healthcare providers and payers are crucial components of successful...
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Value-Based Insurance Design (VBID)
November 22 - 2023
Value-Based Insurance Design (VBID) is an innovative approach to healthcare that aims to improve the quality of care and control costs by aligning incentives for...
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Integrating social determinants of health (SDOH)
November 22 - 2023
Integrating social determinants of health (SDOH) into value-based care is essential for creating a more comprehensive and patient-centered approach to healthcare...
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Coding for Treatment Devices in Radiation Oncology
November 08 - 2021
Treatment devices, designs, and construction may be charged during a course of therapy when documentation substantiates multiple volumes of...
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Determining Time for Anesthesia Billing
November 08 - 2021
Calculating time units for anesthesia billing and coding is extremely important. A unique characteristic of anesthesia billing is the reporting of time units.
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What type of Medical Billing Company should you look for?
November 07 - 2021
Most of the practices are seeing medical billing as a nightmare scenario due to the heavy investment of time and money on the billing side of businesses...
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When you create a high-performance revenue cycle, you’re finally free to invest your full resources into what matters most: the care of your patients.