The Perils of Being...
The Perils of Being ‘Too Big to Fail’ for Healthcare Providers
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Medicare
Appeals
Learn how Versalus Health’s innovative appeal solutions can drive increased revenue for your hospital.
Prisma Health Recoups $12 Million in Lost Revenue
Prisma Health and Versalus Health team up to streamline Utilization Management During Covid-19 to ensure compliance and recoup $12 Million in lost revenue.
Utilization Management
Hospital utilization...
2022 Medicare Sequestration Considerations
Overview In a late 2021...
Will Medicare Beneficiaries pay more for a procedure no longer on the Inpatient-Only List?
There is still a lot of...
Discovery of Nearly $3 Billion in Medicare and Medicaid Errors from RACmonitor
Monitor Mondays - Past...
1135 Waivers: When do they expire?
These waivers, known as...
Medicare Update: Prior Authorization Request Process for Certain Hospital Outpatient Services
Five hospital...
Medicare Advantage: The New RACs
Since the onset of the...
Medicare Advantage or Disadvantage?
OIG Raises Concerns...
Aligning Payor-Provider UR Practices – Proceed with Caution!
Over the last few...
You Can’t Get the Right Answer if You Don’t Ask the Right Question
In 2013, the Centers...