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Your practice survives on its collections. Collections determine the value of your practice, and define the difference between a thriving business and a sleepy or insolvent clinic. This book shows simple pragmatic ways to reduce both under-payment and audit risks. It is aimed at healthcare providers who are tired of substandard billing performance and are looking for proven ways of systematic payment performance improvement. The book creates awareness of the payer-provider conflict, lists specific strategies and techniques payers use to keep providers' money, and then shows how to leverage...

Is your practice profitable and compliant? Some state-managed insurance company audits have discovered up to 30% in mishandled and wrongly denied claims. This book shows private practitioners how to automate and enable such insurance claim payment audits in real time. You' will discover how to: Improve your cash flow and reduce audit risk using Straight-Through Processing (STP) technologies Design and implement industrial-grade network standards for continuous billing quality improvement and compliance maintenance Reduce operations risk and improve your balance sheet using Software as a...