Insurance Discovery, Insurance Eligibility, Prior Authorizations, Revenue Cycle Management
On January 7, 2025, under the Biden administration, the Consumer Financial Protection Bureau (“CFPB”) published a final rule prohibiting consumer reporting agencies from including individuals’ medical debt on consumer credit reports. While the medical debt rule...
Insurance Discovery, Insurance Eligibility, Prior Authorizations, Revenue Cycle Management
Healthcare organizations are under increasing financial strain due to rising patient responsibility, complex billing processes, and claim denials. U.S. hospitals collectively write off $41 billion in uncompensated care annually, and cash on hand has reached its lowest...
Insurance Discovery, Insurance Eligibility, Revenue Cycle Management
Coordination of benefits (COB) errors can be a major pain point for providers, leading to costly denials and significant delays in payment. When multiple insurance plans are involved, determining which insurer is responsible for payment first is crucial. Failing to...
Insurance Discovery, Insurance Eligibility, Revenue Cycle Management
Did you know that eligibility errors are the #1 reason for claim denials in healthcare, and over 60% of these denials go unappealed? It’s time to learn how you could be leaving money on the table. Discover the 5 Most Common Eligibility Denial Pitfalls and get expert...
Insurance Discovery, Insurance Eligibility, Revenue Cycle Management
Since the onset of the Change Healthcare outage on February 21, 2024 the healthcare industry has been thrust into a state of uncertainty. With potential disruptions lasting for weeks, healthcare providers are facing unprecedented challenges. Stay informed about...
Clients Served, Insurance Eligibility
Christopher Fisher, CRCP-I, maxRTE Business Development Director Like many industries, healthcare has become a victim of COVID, sustaining great economic injury. We spoke to one organization that was losing a million dollars a day due to COVID. And even last Fall,...