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Your RCM Health Vital Signs Results

Continue to Monitor

You’re generally executing good to best practices, but it’s worth reviewing more of your metrics to make sure nothing goes undiagnosed. You can get a free personalized assessment of your billing process from our RCM experts, and you can also learn the other metrics that matter (and how to calculate them) in our downloadable Quick Guide to Urgent Care Billing Metrics.

If you want to refine your processes, make sure you’re taking advantage of automation in things like patient registration, text balance reminders, and RTE in your PM (which you can read about in this blog.)

Want more billing insights?

Stay up-to-date on coding changes and more with our Balance Sheet Hub.

Pennsylvania Department of Human Services Prior Authorization 

PURPOSE:   The purpose of this bulletin is to issue updated handbook pages that include the requirements for prior authorization and…

Nov Industry Notes: Elevance to Penalize Facilities For Out-of-network Providers 

Elevance Health (Anthem) will begin penalizing healthcare facilities in 11 states starting Jan. 1, 2026, for using out-of-network providers for…

What to Know About Cigna’s and Aetna’s New Downcoding Policies 

Cigna and Aetna are drawing provider backlash for new payment policies that reduce reimbursements. Cigna is automatically “downcoding” six Evaluation…

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