Revenue cycle management (RCM) is the lifeblood of any healthcare organization. However, even with the most diligent efforts, denials are an inevitable part of the process. These denials, if not addressed efficiently, can significantly impact your cash flow and overall financial health. That’s where streamlining your medical denials process becomes crucial. In this blog, we’ll […]
The U.S. healthcare industry has a $1 trillion opportunity to cut costs and reduce waste, according to a 2015 Harvard Business Review analysis. While there are various areas waste accumulates, costly data reconciliation is a prominent problem for hospitals and health systems. Change Healthcare defines data reconciliation as “the process of compiling information across companies […]
The Centers for Medicare & Medicaid Services (CMS) issued a policy change modification to the claims processing logic for Modifier 59 Distinct procedural service (and the optional patient-relationship modifiers XE, XS, XP, and XU) on February 15, 2019. These modifiers are only processed when applied to the Column 2 code in a bundled pair, per Correct Coding Initiative […]



