Blog

Harnessing the Power of AI and Salesforce: Medlinks Cost Containment’s Innovative Approach to Healthcare Denial Management

The world of healthcare finance is replete with numerous challenges, and one of the most daunting is denial management. The labyrinthine structure of insurance claims processing, combined with the bureaucratic red tape and inefficiencies in healthcare systems, can...

What does the Misinterpretation of CMS Rule 2202.6 Cost Your Facility?

Introduction With Healthcare Providers facing a never-ending onslaught of denials, this particular denial is likely to cost you millions in unnecessary losses. It revolves around payers and their Third Party Administrators “grossly” misinterpreting CMS Rule 2202.6 in...

2023 Healthcare Claims Denials: A Review

The current healthcare landscape presents a sea of financial complexity where billions of dollars in claim denials are processed each year. In 2023, it is estimated that these healthcare denials will amount to $120 billion in the United States. These figures are...

What are the latest trends in healthcare data management?

Adoption of Cloud-based Solutions: As healthcare data volumes continue to grow exponentially; traditional data storage and management systems often struggle to keep pace. Cloud-based solutions offer virtually unlimited storage capacities and are easily scalable to...

Clinical Medical Necessity Appeals and Their Overturning: A Review

The healthcare landscape is riddled with complex processes, one of which is the clinical medical necessity appeal. Hospitals, healthcare providers, and patients can sometimes disagree with insurance company decisions about whether a particular service is medically...

Your Audit Losses begin with Medical Record Requests

Feb 21, 2015

In the world of being an expert it can take careful observation as to what is occurring in your area of expertise. This has become especially true in the world of auditing. It is true in the realm of RAC as CMS offers loads of grey areas, and an ever moving target of...

Exciting News for CMAS Renewals!

Feb 18, 2015

Effective December 4, 2014, membership in AAMAS is no longer a CMAS requirement. The Council recognizes the many relevant organizations that work with our core mission. Therefore, membership to a revenue integrity organization or quality management organization is now...