Mental health facilities have a unique set of circumstances when it comes to billing and coding for services. They must juggle many different diagnoses, treatments, and care plans. This can often lead to inaccurate or incomplete documentation – which in turn affects reimbursement. But what if there was a way to optimize mental health billing…
What is Pricing Analytics With the power of advanced analytics, modern pricing and profitability management are revolutionizing how businesses make decisions. By mining through massive data sets with millions of variables and billions of cases, providers can gain valuable insights from analyzing unstructured information such as text, emails, tweets images or audio files in real-time….
U.S. health systems have long struggled with the painstaking process of analyzing and modeling payer reimbursements, leading to a lack of negotiating power when it comes time for contracts between hospitals and insurers. This has left many struggling in their quest for fair increases that reflect the true costs associated with medical care. Payers have…
The PPP (Price, Prior Authorization, Payment) Cycle in Health care Hospital CFOs deal with imperfect systems on a day-to-day basis because the systems that are in place at most hospital systems have not been designed for healthcare operations. Hospitals run of EHRs. However, by their very nature EHRs are Electronic Health Record systems and are…
Knowledge is power As the saying goes, Knowledge is power. Most organizations are data-rich but knowledge poor. In industries ranging from supply chain to retail to health care, a variety of transactional systems continuously capture data points. This data is useful only when knowledge can be gained from it. Knowledge could be real-time in terms…
The bundling and final pricing of products and services in the US healthcare market is very opaque and there is wide dispersion across geographies and services. Transparency in pricing, in any market, is important since the visibility in pricing allows the different players to work together in determining the supply and demand. This helps in…