
Unlocking Revenue with 7 Key Utilization KPIs
In 2025, healthcare providers continue to experience a rise in prior authorization denials—impacting both patient access and provider revenue. With denial rates climbing and payer expectations becoming more complex, the role of utilization management has become a central focus in ensuring both clinical and financial outcomes. While many healthcare organizations monitor utilization-related data, very few …
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Know More- Kalpesh Soni
- June 14, 2025

5 Essential Components of a Strong Patient Access Strategy
In today’s healthcare environment, patient access is more than just the first step in care - it’s the foundation for a seamless experience and a healthy revenue cycle.
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- June 10, 2025

How Outsourcing RCM Gives Providers a Competitive Edge
Healthcare providers are under increasing pressure to do more with less - optimize revenue, comply with ever-changing regulations, and ensure accurate and timely billing - all while delivering exceptional patient care.
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- June 2, 2025

From Chaos to Clarity: Automation in Patient Eligibility Screening
Managing Accounts Receivable (A/R) in the healthcare industry remains a persistent and complex challenge. The fragmented nature of payer systems, coupled with inconsistent reimbursement protocols, contributes to delays, denials, and administrative inefficiencies - ultimately affecting both revenue and patient care quality.
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- May 28, 2025

Top 10 Claim Adjustment Reason Codes and Strategies to Avoid Them
Top CARC Codes and Proven Strategies for Claim Accuracy. The financial stability of a healthcare organization hinges on one critical factor - getting paid accurately and on time. Yet, denials continue to challenge even the most efficient practices.
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- May 26, 2025

5 Strategies to Boost Clean Claim Rates in Medical & Dental Billing
In the complex world of healthcare billing, maintaining a high clean claim rate is more than just a metric - it's a direct indicator of the financial health and efficiency of your practice. A clean claim is one that is error-free and processed without the need for additional information or resubmission.
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- May 23, 2025

10 Amazing Benefits of Home Health Care
More than 65 million Americans juggle the daily demands of work, home, children, and Home health care for someone. Who may be disable, ill, or aging. Managing busy families and the emotional decisions that must be make when caring for a loved one can be overwhelming.
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- April 18, 2024

10 Tips For Telemedicine Visit : A Patient Guide
Telemedicine uses video or telephone communication to connect patients with a medical professional for the exchange of information electronically. As a patient, you can see your provider in this manner instead of an in-person visit.
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- March 12, 2024

HIPPA Compliance for Remote Workers
In the past 10 years, the number of employees working remotely in the United States has increased by 115 percent. And with the COVID-19 pandemic requiring many employees to work from home, that number is increasing at a rapid pace.
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- February 22, 2024

Clean Calm and Write-off Metrics Key to Diagnostic Provider Success
Diagnostic provider leadership teams understand the importance of revenue cycle management (RCM) for maximizing reimbursement promptly. Submitting clean claims is one of the most important ways that a diagnostic organization can ensure payment in a timely manner from both private and government insurance payors.
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- February 6, 2024