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How to Effectively Handle Refunds and Adjustments in RCM

How to Effectively Handle Refunds and Adjustments in RCM

Revenue Cycle Management (RCM) is a critical process in healthcare that involves managing the administrative and clinical functions related to the capture, management, and collection of patient service revenue. Effectively handling refunds and adjustments is essential...
The Role of Payer Contracting in Revenue Cycle Management

The Role of Payer Contracting in Revenue Cycle Management

Revenue cycle management (RCM) is a critical component of healthcare administration, encompassing all the processes that manage patient service revenue from registration and appointment scheduling through the final payment of a balance. One of the key aspects of RCM...
How to Achieve High Clean Claim Rates and Avoid Rejections

How to Achieve High Clean Claim Rates and Avoid Rejections

In the healthcare industry, achieving high clean claim rates is crucial for ensuring timely reimbursement and maintaining financial stability. Clean claims are those that are submitted correctly the first time, without any errors, and are therefore processed and paid...