
News & Blog
Sort by :

Automated Eligibility & Benefits Verification
Managing eligibility and benefits verification was an ongoing challenge for the client. Its agents were spending hours on the phone calling payers or on the

Improved and Streamlined Prior Authorization Request Processes
Prior authorization requests are a highly manual process that, when not done properly, can lead to denials, delay of care, and write-offs. The company needed

Outsourcing expertise in HCC coding drives increase in accuracy and productivity
This BCBS health plan on the East coast has more than 6 million members, represents an integrated delivery network, and is a Medicare Advantage participant.

Medical Coding: Reduced Billing Delays by 300%
The critical access health system’s discharge not final billed (DNFB) dropped by $3 million. Download Case Study

Health System Outsources Coding to Gain Quality and Process Improvements
With nearly 500 primary and specialty care physicians from multiple facilities doing their own coding, this multi-state health system had issues with coding quality and

Pharma Hub Improves Performance with Market Access Services
Facilitating patient and provider access to gain access to specialty pharmaceuticals calls for streamlined processes aligning patients and brand manufacturers. Deploying staff to analyze explanation