Billing and Collections
Revenue reductions linked to Medicare Advantage denials surged by 55.7%, while those from commercial payers rose by 20.2% since 2022.
The AI-powered tools will increase transparency and access, says Cedar president Seth Cohen.
The bottom line is hospitals' operating cash flows and margins will improve and revenue growth will slightly top expenses.
Disputing parties would be encouraged to negotiate before initiating the IDR process, departments say.
The modifications are in line with the industry as a result of the PHE ending in May, Aetna says.
While 80% of a commercial bill is the plan's responsibility, 20% is owed by patients, says PayMedix CEO Tom Policelli.
Advocate, Hackensack Meridian, Intermountain, Mass General Brigham, Memorial Hermann among those in National Independent Provider Ecosystem.
This would have significant implications for hospitals and health systems, says Attorney Mackenzie Wallace.
For both primary and specialty care, telehealth is more frequently coded with a lower level-of-service billing code, Epic Research says.
In 2022, the AG launched an investigation into Mayo Clinic, which is ongoing.