Mark Janiszewski’s Post

Many health insurers are exploring a modular approach to key operational technologies like enrollment, claims management, and premium billing. This model mirrors the success of Blue Shield of California's point PBM strategy, where expertise-driven solutions contribute to a more efficient and cost-effective pharmacy management solution. Here's why a modular approach is gaining momentum: - Enhanced Functionality: Point solutions often offer advanced features absent in all-in-one options. For example, Certifi's billing platform provides automated retroactivity management, an integrated payment portal, and configurable delinquency management – features that boost productivity. - Greater Innovation: Specialized vendors tend to have deeper domain expertise, leading to more innovative and feature-rich solutions. - Increased Agility: Replacing underperforming technology becomes easier, minimizing disruptions and improving team productivity. Learn how to integrate a billing solution with upstream and downstream solutions to gain best-in-class billing functionality: https://hubs.ly/Q02cH4GF0

Many health insurers are exploring a modular approach to key operational technologies like enrollment, claims management, and premium billing. This model mirrors the success of Blue Shield of California's point PBM strategy, where expertise-driven solutions contribute to a more efficient and cost-effective pharmacy management solution. Here's why a modular approach is gaining momentum: - Enhanced Functionality: Point solutions often offer advanced features absent in all-in-one options. For example, Certifi's billing platform provides automated retroactivity management, an integrated payment portal, and configurable delinquency management – features that boost productivity. - Greater Innovation: Specialized vendors tend to have deeper domain expertise, leading to more innovative and feature-rich solutions. - Increased Agility: Replacing underperforming technology becomes easier, minimizing disruptions and improving team productivity. Learn how to integrate a billing solution with upstream and downstream solutions to gain best-in-class billing functionality: https://hubs.ly/Q02cGVTV0

Consider evaluating your current RCM processes and explore the potential benefits of outsourcing. The right decision could transform your hospital’s financial health and enhance the overall patient experience.

Thanks to intuitive dashboards and reports, Sage Intacct from Lucentive gives you real-time access to every metric and KPI that matters, such as profitability per location, treatment, CPT code, or physician. https://bit.ly/458rf0b #SageIntacct #Dallas #FtWorth

If you read one article on the core issues in RCM billing, read this one. Here, we lay out the fundamental obstacles within billing teams, and unveil why automation is the saving grace of long-standing revenue cycle management issues. 🙌 https://lnkd.in/eYJ2ig8a #RCM #AutomationSolutions #StaffingSolutions #MedicalBilling

Outsourcing revenue cycle management can streamline your practice's financial operations by leveraging expert knowledge and advanced technology. It's important to partner with a provider offering 100% transparency, U.S.-based support, and a proven track record of high net collection rates. Start today so you can focus on patient care while optimizing your revenue and efficiency. https://ow.ly/NWa850SHvyG #RevenueCycleManagement #HealthcareFinance #OutsourcingBestPractices

Is your ASC billing office managing your revenue cycle as effectively as possible? Find out now by exploring the ASC billing checklist. You’ll learn every task that should be completed daily, weekly, monthly, and yearly to improve your revenue cycle profitability. Access the checklist here: https://hubs.li/Q02v8ZQR0 #ASC #revenuecyclemanagement #billingchecklist

Front-End Revenue Cycle: The Foundation of Financial Success!!! While revenue cycle leaders pay considerable attention to mid and back-end functions like coding, billing, claims management, and denials management, it’s essential to recognize that actions taken before a clinical encounter significantly influence revenue cycle efficiency. To read more.. https://lnkd.in/gQqPAFGi Globe Centrix #FrontEndRCM #MedicalBilling #RCMservices

In the intricate ecosystem of senior care organizations, efficient revenue cycle management (RCM) is paramount for ensuring financial stability and providing quality care. However, navigating the complexities of billing practices in this sector can be daunting, often presenting numerous challenges and pain points. In today's blog, we delve into how senior care organizations can overcome these obstacles and optimize their revenue cycle management for sustained success. #revenuecyclemanagement #seniorcare #seniorliving #dashealth

Revenue Cycle Management (RCM) is a crucial aspect of healthcare financial management, streamlining processes from patient registration to claim submission and reimbursement. Successful implementation requires understanding industry regulations, technological advancements, and payer dynamics. Join the conversation to debunk myths and uncover realities. #RevenueCycleManagement #MedicalBilling #HealthcareFinance #FactVsMyth 💼🔍 https://lnkd.in/dkZiN-NX