What is Payer Initiated Reduction (PIR)?
Explore what Payer Initiated Reduction (PIR) is and its impact on healthcare insurance and provider reimbursements.
Proven Process for Payers To Maximize Efficiencies and Minimize Efforts
Elevate your payer operations with BHM's latest Insight. Unveil a proven process to maximize efficiency & minimize effort. Perfect your strategy and lead the way in healthcare management.
How To Choose the Right Medical Director Services
Discover how to select the correct medical director services for your organization in our latest Insight. These services can significantly impact your organization's clinical outcomes, financial performance, and reputation.
5 Most Needed Features In Your Clinical Peer Review Software
Discover how BHM’s Clinical Peer Review Software revolutionizes healthcare quality and safety. Read our comprehensive guide now.
10 Essential Terms You Should Know About Prior Authorization
Dive into our latest insight detailing 10 crucial terms for prior authorization, essential for navigating healthcare effectively.
A Payer’s Guide to Case Management Utilization Review
Explore resolving payer-provider disputes with our guide on case management utilization review for effective dispute management and smoother relations.
Prior Authorization: How Does It Affect Payers?
Prior Authorization is designed to prevent unnecessary expenses. However, the current complexities create challenges for payers, impacting both financial implications and administrative burdens. In this blog post, we will delve into the nuances of prior authorization, exploring its effects on payers and unveiling best practices for a more sustainable and efficient healthcare system.
Mastering Value-Based Care Contracts: A Payer’s Playbook
Master value-based care contracts with our payer's playbook. Elevate your strategies for effective management.
Top 10 Benefits of Outsourcing Peer Review Management Services
Seeking ways to enhance "paperwork" processes and ensure the quality of care delivered to patients has led to the outsourcing of peer review management services, a strategic move that not only addresses the challenges faced by healthcare providers but also brings forth a myriad of advantages.
Proven Tactics for Accelerating the Revenue Cycle Management Process
Revenue cycle management (RCM) stands as the linchpin that determines the financial vitality of healthcare organizations and payers alike. We will delve into proven strategies tailored specifically for healthcare organizations and payers to streamline and accelerate their revenue cycle.