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How to Optimize Coding for Specialty Medications in Revenue Cycle Management?
Specialty medications are crucial in treating complex conditions like cancer, rheumatoid arthritis, and multiple sclerosis. However, their unique characteristics — high costs, complex administration methods, and the need for precise billing codes — make them one of the more challenging aspects of healthcare revenue cycle management (RCM). In this article, we’ll delve into how optimizing coding for specialty medications can improve reimbursement accuracy, minimize denials, and streamline the RCM process for healthcare providers. Key Takeaways Accurate coding for specialty medications
Noah Thomas
Best Practices for Handling Out-of-Network Claims in Revenue Cycle Management (RCM)
Handling out-of-network (OON) claims can be one of the trickiest aspects of Revenue Cycle Management (RCM) for healthcare providers. These claims typically present unique challenges, including lower reimbursement rates, more complex billing procedures, and increased chances of claim denials. However, with the right strategies in place, you can effectively manage out-of-network claims and ensure that your practice receives the reimbursement it deserves. In this article, we’ll cover the best practices for handling out-of-network claims, from verification and preauthorization to billing
Noah Thomas
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