QPP 2025 Updates If you haven’t noticed, CMS continues to refine the Quality Payment Program (QPP), with the ongoing goal to enhance quality, reduce costs, and reduce administrative barriers and burdens for clinicians. Providers should review these changes in detail…
After some great feedback from a previous blog regarding Revenue Cycle Management, we thought best to follow up with some general helpful KPI’s. You must keep in mind that an efficient RCM ensures that providers are reimbursed accurately and promptly…
In the past month, The Centers for Medicare & Medicaid Services (CMS) issued its final updates to Medicare payment policies for 2025, which is anticipated to impact physicians, Medicare Advantage (MA) plans, Part D prescription drug coverage, and home health…
In the past week, the 2025 federal budget was passed in the House, and introduces a number of impactful changes to healthcare funding and policy. Expected expenditures being what highlights the list. Such notable provisions include cuts to Medicaid, a…
During the March 2025 Semi-Annual Conference for the GA Society of Ambulatory Surgery Centers, SHP presented attendees with an update of the managed care landscape in the state of GA, along with insight into the ASC market. We discussed the…
In its most simple form, managed care contracting is a business agreement between insurance companies and other managed care organizations, and healthcare providers where a few items are defined and agreed upon – 1) How providers will get paid for…
Revenue cycle analytics in a provider setting refers to the use of data-driven insights of the financial processes (Billing, Collections, Registration, etc.) for healthcare organizations. It involves tracking, analyzing, and improving various components of the revenue cycle, from patient registration…
First off, what is an IPA…? An Independent Physician Association (IPA) is a legal entity that is a collection or network of independent doctors who come together to contract with carriers or employers, exchange best practices to improve overall practice…
Provider enrollment is what we often refer to as the offensive lineman of healthcare. No one knows or appreciates the function until there’s an issue. And in this case, a revenue stream issue. Basically, PE is a critical revenue cycle…
This week our Podcast launched season 4.5 with a new series titled “Quick Conversations.” And we started with a friend of ours, Jeremy Miller of Boost by Design. Jeremy has been our digital marketing partner for several years and is…