Revenue Cycle Management (RCM)

Revenue Cycle Management (RCM)   Revenue cycle management (RCM) is the financial process, utilizing medical billing software that healthcare facilities & providers use to track patient care episodes from registration and appointment scheduling to the final payment. Healthcare revenue cycle management is the financial process that facilities use to manage the administrative and clinical functions [...]

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Posted in BPO, Claims, Claims Administration, HealthCare, Healthcare Analytics & Business Intelligence, Revenue Cycle Management Services | Comments Off

Health Claims Configuration on Claims Payment System

Health Claims Configuration on Claims Payment System   Ability to partner & collaborate with associates, managers, directors and senior leadership Advanced knowledge of core processing systems in relation to configuration set-up Advanced problem solving, critical thinking, and process analysis skills to lead teams responsible for client configuration Collaborate with stakeholders to gather business requirements for [...]

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Posted in Careers in HealthCare, Claims, Claims Administration | Comments Off

The Impact of Health Benefit Exchanges

The Impact of Health Benefit Exchanges Health care and health insurance are huge topics in the news today. As costs for both patients and medical professionals continue to increase, new ideas are being tried to improve the situation for all parties and address the problems that healthcare is currently facing. One such solution is the [...]

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Posted in Health Exchange | Comments Off

Disease & Discharge Management – Hospital Readmission & Medicare Penalty

Disease & Discharge Management – Hospital Readmission & Medicare Penalty Owing to ObamaCare (Affordable Care Act – ACA), it is now pertinent for Hospitals to not only ensure better care but also go out of the way to ensure that the patient do not come back to the Hospital for same treatment within 30 days [...]

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Qualified Health Plans (QHP) for Health Exchanges

Qualified Health Plans (QHP) for Health Exchanges A “qualified health plan” is a health plan that Agrees to charge the same premium whether the plan is sold through the Exchange or outside the Exchange Agrees to offer at least one silver plan and one gold plan Complies with other requirements of the Secretary and the [...]

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New Jersey 07302, USA

Phone: +1 201.258.4704 / 201.258.4704
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