Tag Archives: claims denial

Preparing your organization for value-based care

Being prepared is sound strategy in all areas of life. The Boy Scouts live by it. Homeowners in hurricane zones stay ready for the worst. And health care executives know it’s the secret to longevity in the helter-skelter world in which they operate. Preparation is even more important now that value-based reimbursement is building momentum. […]
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Reimbursement: The narrowest curve on the value-based journey

Health care reimbursement isn’t as easy as a provider sending an invoice and the payer cutting a check. Since DRGs were introduced by Medicare in the early 80s, getting reimbursed for services performed has become increasingly complicated. Regulatory and industry changes related to the Affordable Care Act and the ICD-10 mandate have made it even […]
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