05: Other

Price Transparency Study Reveals Highest Payer Prices in the Upper Midwest and Southeast

Based on an article from Becker's Hospital report, the following pricing discrepancies were identified. A study in JAMA Health Forum analyzed Humana's pricing data for medical services in October 2022 and found that negotiated prices for office visits and procedures were highest in the upper Midwest and Southeast but lowest in the central U.S. and

By |2023-10-30T14:04:43-06:00October 30th, 2023|02: Front-end RCM, 05: Other|0 Comments

Demystifying the PEPPER Report

The PEPPER (Program for Evaluating Payment Patterns Electronic Report) is a valuable tool developed by the Centers for Medicare & Medicaid Services (CMS) to assist healthcare providers in identifying potential vulnerabilities in their billing practices and quality of care. This report, made available annually, offers detailed insights into provider-specific data, enabling healthcare facilities to

By |2023-10-20T14:41:26-06:00October 20th, 2023|03: Mid RCM, 05: Other|0 Comments
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