Category: Uncategorized

population health

Population Health Management Challenges

As we continued to move toward value based purchasing, healthcare as an industry is becoming more and more focused on population health metrics. Instead of looking at smaller patient populations and sample sizes, industry researchers and leaders are casting a wider net these days, hoping to capture larger data samples and establish benchmarks for the move away from current payment models.

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cppa accreditation

The CPPA Specialty Pharmacy Accreditation

Specialty pharmacy is a growing industry and with many pharmacies moving toward accreditation, the process can get overwhelming. The following infographic will review the basics of the CPPA Specialty Pharmacy Accreditation, from what is considered a specialty pharmacy to how organizations can start the process.

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Revenue Cycle Management

10 Tips for Minimizing Denials

No medical practice likes a high denial rate. Not only does it negatively impact your practice’s revenue cycle, but it makes things more difficult and frustrating for your patients, too.

So what are some tips for minimizing denials? This post goes over some of the most common causes for denied claims and can help you get back on the right track.

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pharmacy

Pharmacy May Be The Answer To Reducing Healthcare Costs

Back in March, we talked about how the role of the pharmacist in the healthcare ecosystem has been expanding over the past decade. In addition to simple medication fulfillment, pharmacist now complete crucial patient aftercare, education, and vaccination administration. Many believe as the role of the pharmacist expands, they could become the key to reducing all kinds of healthcare costs. Here are three ways pharmacy is helping save costs for healthcare.

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Claim Denials

The Anatomy of A Denied Claim

Denied claims cost healthcare organizations a lot of money each year. Often times, the denials could have been easily avoided. Let’s look at the anatomy of a denied claim.

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NCQA Accreditation Levels

If you’re considering NCQA accreditation, it’s important to understand the different levels that can be achieved. These status levels are based on compliance and performance reviews through NCQA and say quite a bit about your organization.

Let’s take a look at the different levels.

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