Many commercial payors have begun to scrutinize line item charges and disallow certain services, particularly on high-cost inpatient claims. Respiratory and other services have largely been targeted. In order to appropriately ...
PRICE TRANSPARENCY AND 835 PAYMENT DATA Have you evaluated your third-party payor contracts lately? Do you have any contracts coming up on renewal? Have you compared payments across payors for consistency and adequacy relative to ...
The 835 and 837 transaction sets are two electronic documents vital to healthcare and commissioned by HIPAA 5010 requirements. They are an essential part of the hospital payment process, but one might not fully understand exactly ...
Chargemaster management can be a daunting task. In basic concept, the Chargemaster is a simple database storing a comprehensive list of charge codes for procedures, services, and supplies. Everything from prescription drugs to ...
835 PAYMENT ANALYSIS: DIAGNOSTICS AND CHECKUPS So do you really know what you are being paid? That is the burning question for many health care executives and revenue cycle leaders. You’re seeing that magic number each month in ...
MedCom has a strong history of providing services to improve chargemaster data and the charge capture process. Collaborating with other firms to offer services that extend beyond the reach of our expertise can enhance the value ...
– Combined offering advances MedCom and Corazon’s efforts to enhance client success through comprehensive program evaluation and innovative solutions – PITTSBURGH, PENNSYLANIA – February 17, 2022 – MedCom Solutions, Inc., a full ...
Nearly every hospital across the country is dealing with the same pain. Many workers have left, and the cost to retain or hire new has increased to a paralyzing rate. The burden that remains for the existing staff is tremendous. ...
Profit margins are shrinking for hospitals across the country. Bundled payment structures are on the rise, making it difficult to determine if reimbursement is accurate. Healthcare providers cannot afford to miss out on ...
MedCom Solutions has provided hundreds of chargemaster reviews for our clients for over 30+ years. In that time, there has been an accumulation of knowledge around hot spots where hospitals are prone to losing revenue if they ...
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