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Smaller health systems are relying on compensation to retain physicians and advanced practice providers at far higher rates than large…
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Bring external payer data into a health system and it can look like a one-time integration project — connect, map, deliver, done. It rarely works that way. Teams must track expected files, validate incoming data, interpret payer-specific formats, reconcile claims…
Presented by:
- Rob Pinataro, CEO, Health Data Innovations
- Christopher Ragsdale, Founder and Principal, Towers Advisory
- John Supra, Founder and Managing Member, Better Health Matters
- Jonathan Kaye, Founder and Executive Chairman, Health Data Innovations
Federal auditors found that 13 percent of the prior authorization requests Medicare Advantage plans denied met Medicare coverage rules, care that likely should have been approved. The pressure that creates lands on the revenue cycle. This report shows how health…
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Hospital revenue loss rarely begins with a bad claim. It often begins days or weeks earlier, when a service is scheduled before authorization requirements are confirmed, documentation is incomplete or the final service no longer matches what was approved. That…
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A physician at Cogdell Family Clinic in Snyder, Texas will close his practice on Sept. 25, according to a notice posted to Cogdell Memorial Hospital and Clinics’ Facebook page. Kevin Hough, MD, will work to complete records and facilitate patient…
As colorectal cancer incidence grows among younger adults and patients have more screening options than ever before, insurance coverage may not be keeping up. Adults younger than 65 account for 45% of all newly diagnosed colorectal cancer cases in the…
A fully staffed perioperative team is essential to safe, efficient surgical care — and rising procedural demand, clinician shortages and anesthesia constraints keep testing it. But workforce shortages are only half the problem. The other half is deployment: getting the…
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Momentum Health Partners has expanded its investment in Desert Pain Specialists, deepening a partnership first formed in 2023 to grow the Rancho Mirage, California-based interventional pain management practice, Real Estate Daily News reported Aug. 20. The Phoenix-based healthcare platform company…
Jacksonville, Fla.-based Baptist Health has purchased a medical outpatient building in Jacksonville, Fla., for $65 million, according to an Aug. 19 report from REBusiness Online. The Southbank Medical Pavilion is a 493,012-square-foot facility adjacent to Baptist Health’s flagship hospital campus. …
Chesapeake Regional Medical Center has reached a tentative agreement with the Justice Department to resolve a criminal case stemming from the hospital’s decades-long relationship with convicted OB-GYN Javaid Perwaiz, MD, 13 News Now reported Aug. 19. Under the tentative agreement,…
Nearly 9 in 10 employed physicians (89%) say they’re satisfied with the quality of care they’re personally able to provide, even as they describe a surrounding delivery system that regularly falls short, according to the 2026 PAI Employed Physician Survey.…
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