Blog

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...

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...

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...

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...

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...