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This article was developed from an episode of Graphium Health's “Time Out For Anesthesia” with Courtney Franco, Vp of Sales at ImagineSoftware. You can watch or listen to the original interview via the link at the bottom of this page.

With the January 1st, 2022 official enactment of the No Surprises Act (NSA) now prohibiting surprise patient bills, it comes as no surprise that healthcare providers across the country have since been evaluating the potential impact on their organizations.

A recent visit for an annual physical left me feeling angry, cheated, and worst of all, broke. After expecting a twenty-dollar co-pay, I was shocked to hear the administrator at the front desk utter, “And, today, you owe, $275.” My eyes grew big, almost popping out of my head, “Excuse me?” I questioned.

Revenue cycle analytics is an approach to value analysis that includes all aspects of patient care, from supplies and equipment to services, care and outcomes. By implementing revenue cycle analytics, healthcare providers can avoid losing revenue in the midst of a value-based care reimbursement model.

When you’re processing hundreds, if not thousands of complex medical claims every week, a small percentage of denied claims can have a significant impact of your bottom line. This is where automated denial management comes in. Here are some ways automation can help bridge the gap between claim denials and higher profit for your healthcare organization.

Trends in the healthcare industry continue to emerge, and providers that want to maintain a strong revenue cycle must learn how to embrace them. The first part is understanding each one and the advantages precipitated by their inclusion in physician practices of all sizes.

DMA wants you to know how ImagineSoftware’s leader in patient statements in medical billing and payment solutions is transforming the industry once again!

Healthcare providers face multiple revenue cycle management (RCM) challenges, from billing and collections inefficiencies and complex reimbursement models to inaccurate charge capture and changing government regulations.

AAPC defines medical coding as the transformation of healthcare diagnosis, procedures, medical services and equipment into universal medical alphanumeric codes. In financial terms, medical coding is the life blood of the practice. It's how the services you provide turn into billable revenue.

The No Surprises Act becomes effective January 1, 2022. The question that remains is this: will providers ultimately be the parties surprised by out-of-network care reimbursement?