WoundSource的动态

Providers have the opportunity to set new benchmarks for payers. Those that aren’t taking advantage of it could be leaving money on the table. You probably know the No Surprises Act was passed to ensure patients never have to deal with surprise medical bills. It also includes legislation to protect providers from underpayment. The IDR (Independent Dispute Resolution) process not only allows providers to appeal underpaid claims but also allows them to set benchmarks and hold payers accountable. Providers have an opportunity to set new reimbursement standards for payers. And they have the right to say, “Here’s what you owe us based on the value of the patient care – not your historical numbers.” The only reason more providers aren’t taking advantage of the IDR process is that they lack the understanding or resources. But the truth is that those providers are leaving revenue behind. Payers are fighting tooth and nail to avoid fair reimbursements. It’s time for providers to fight back.

Zetter HealthCare understands the challenges of establishing and maintaining contracts with payers. We create personalized contract term sheets so you can understand every detail of your contracts, giving you a comprehensive overview of renewal dates, specific terms, and payment details at a glance. All your reimbursement rates in one place by CPT or HCPCS code. What a concept! Feel confident in your payer contracts with Zetter HealthCare. Call us for a consult at: ??(717) 691-6768. #ZetterHealthCare #AsktheConsultant #PracticeManagement #ZetterPlus #Financials #CredentialingandContracting

Zetter HealthCare understands the challenges of establishing and maintaining contracts with payers. We create personalized contract term sheets, so you know every detail of your contracts, giving you a comprehensive overview of renewal dates, specific terms, and payment details at a glance. All your reimbursement rates in one place by CPT or HCPCS code. What a concept! Feel confident in your payer contracts with Zetter HealthCare. Call us for a consultation at: ?? (717) 691-6768. #ZetterHealthCare #AsktheConsultant #PracticeManagement #ZetterPlus #Financials #CredentialingandContracting

How is your #PDPM Capturing going? Reach out for a free retroactive analysis by MedSet to see if you're missing out on Medicare Reimbursement! [email protected]

Discover five essential strategies to enhance your medical claim reimbursement success rate. For further insights, schedule a complimentary consultation with us at [email protected] #medicalbilling #revenuecyclemanagement #medicalpractices

Thoughts from field leadership

Discover how Policy Alerts can streamline your medical policy tracking and reimbursement strategies. Schedule a FREE demo today to see our powerful tools in action!

Check out our latest blog: Mastering Payer Contract Negotiation for Optimal Reimbursement Rates Dive into our expert tips and strategies to help you succeed in your next negotiation. Reach out to us today for personalized assistance to ensure you get the best terms and rates possible! #HealthcareRCM #ContractNegotiation #PayerContracts #ExpertAdvice #TriumpHealth https://lnkd.in/gVhWxMij

Best Practice Tip: Prior authorization is your practice’s key to faster claims approval. Review payer guidelines regularly to avoid delays! United Healthcare Gold Card program starts October 1, 2024. Were you aware that the lookback period is over? If you do not qualify for this round, the following eligible review will be in late 2025. Be prepared. Complying will payer guidelines will save your staff time on prior authorizations for specific codes. There's never been a better time to review your revenue cycle. https://lnkd.in/dSY2eA-w

When healthcare providers perform rare and novel procedures, billing codes must be created to properly bill payers. This is where unlisted medical billing codes come into play! Learn more about unlisted medical billing codes here ?? #PaymentIntegrity #ClaimsProcessing