by admin | Jul 27, 2020 | Collection Rates, New Release, Outsourcing
From the perspective of providers, payers too often adjudicate claims below the providers’ contracted rate agreements or underpay claims when they don’t have a contracted agreement with the provider. These “low pay” situations, which include denials, can highlight...
by admin | Jul 27, 2020 | New Release, Patient Recovery, Utilization Review
Utilization Review (UR), or Utilization Management, is a critical function to managing the quality and cost of care at any healthcare facility. Besides being a legal requirement for participation in federal healthcare programs, it is crucial for preventing claim...
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