How To Write a Letter of Medical Necessity
Learn key strategies for crafting a compelling Letter of Medical Necessity (LMN) in healthcare. Boost approval chances!
Trust and Expertise: The Role of Independent Review Organizations
Independent Review Organizations (IROs) play a crucial role in providing unbiased and expert evaluations. This article explores the significance of Independent Review Organizations, their role in upholding trust and expertise, and how they contribute to enhancing the quality of healthcare services.
Intelligent Document Processing for Payer Cost Savings
Intelligent Document Processing (IDP) is a technology that uses artificial intelligence (AI) and machine learning to automatically extract and process data from documents such as claims forms, invoices, and medical records. This eliminates the need for manual data entry and speeds up the processing of claims and other documents.
Health System Best Practices for Improving Performance
Health System Best Practices: Profitable health systems tend to exhibit certain behaviors and policies that distinguish them from less profitable ones. Here are some of the most common.
Payer Best Practices for Success
Payer Best Practices for Success: The healthcare industry is one of the most critical and rapidly evolving industries in the world. Healthcare payers, such as insurance companies, play an essential role in this industry by providing financial protection to individuals and families in the event of illness or injury.
NCQA Health Plan Accreditation Updates for 2023
NCQA Health Plan Accreditation program provides a framework for assessing the quality of health plans and ensuring that they meet certain standards.
NCQA Health Plan Accreditation: 5 Reasons for Third-Party Review
NCQA Health Plan Accreditation is a rigorous evaluation process that assesses the quality of health plans and their ability to meet the needs of their members. As part of the accreditation process, NCQA requires health plans to undergo third-party review.
Top At-Risk Conditions and Utilization Spikes
Top At-Risk Conditions and utilization spikes that healthcare leaders and stakeholders across the industry must prepare to proactively address in the upcoming year highlight the recently released, 2023 State of Health – In The Aftermath Report. The report also presents predictive findings and explores the top contributing factors of many utilization increases.
URAC Accreditation Consulting: Worth the Investment?
URAC accreditation consulting valuation begins with seeing the importance of earning a credential. The multifaceted world of accreditation can be daunting, from choosing the right accreditation body to getting correct documentation in place to ensure accreditation success.
Physician Burnout and Patient Well-Being Tightly Linked
Physician burnout can contribute to patients' own burnout as they navigate their care, wrote Aisling Carroll, an ovarian cancer survivor and freelance writer, in an op-ed for STAT.