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Proactive Planning and Data Security in Healthcare

The past five years have underscored the critical importance of crisis and contingency planning in healthcare. The 2020 public health...

Oct Industry Notes: BCBS Acquires Cigna

Illinois: BCBS Illinois Acquires Cigna Medicare Business  Blue Cross and Blue Shield of Illinois entered into a definitive agreement to...

Best Practices to Solve Workflow and Charting Challenges in Urgent Care

When you’re in urgent care, inefficiencies and other time wasters have a heavy impact on the patient experience, and can...

Sept Industry Notes: EOBs during the Change Healthcare Service Outage 

CDPHP: Issuing of EOBs during the Change Healthcare Service Outage  As a result of the Change Healthcare security issue and...

Navigating the Complexities of Contracting and Credentialing in Urgent Care

Contracting and credentialing providers is a complex process that keeps evolving for urgent care. The number of payers involved, rules...

Sept Industry Notes: Sanford Health Plan

Sanford Health Plan: Change of Mailing Address  Sanford Health Plan has changed the mailing address for Medicare Advantage claims submitted...

Sept Industry Notes: Aetna Payment Delays

Oklahoma: Aetna Better Health Payment Delays  Aetna Better Health Oklahoma is denying claims in error with the following denial codes: ...

Navigating Diagnosis Denials

RCM Operations Director: Brianna Crowley A growing concern in the healthcare system is the increased amount of diagnosis denials. Insurance...

Getting to Know the Patient Services Department

Patient Services Manager: Nikki Petersen Our patient services department at Experity handles a variety of calls to help our clients...

ICD-10-CM: What’s New for 2025

How are we preparing for the end of year already? Didn’t 2024 just begin? Unfortunately, we are heading into fall...

Billing Out-of-Network, Flu Season, and Industry Updates

The Challenges of Billing Out-of-Network One of the biggest challenges for an urgent care is billing insurance as a non-participating...

Sneak Peak! Urgent Care Quarterly: 2024 Revenue Trends

In the last issue of Urgent Care Quarterly, we explored how the operational strategies adopted by urgent care practices during...

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