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Urgent Care as a Growth Engine: How Health Systems Can Unlock Revenue with the Right Tools

Once viewed as a low-margin access point, on-demand care is now a strategic growth engine for forward-thinking health systems. With...

What Is a B Read — and Why It Matters More Than Ever in Occupational Medicine

If your clinic offers occupational medicine services, you’ve likely seen an uptick in chest X-ray requirements recently — and that’s...

Payer-specific Tip: Oklahoma Medicaid

Did you know…   Oklahoma Medicaid will not accept corrected claims. Corrected claims (if any amount of claim pd) needs to...

June Industry Notes: Aetna Quick Payment With Coordination of Benefits 

Aetna Quick Payment With Coordination of Benefits  Coordination of benefits (COB) is a process that identifies which health plan is...

Humana Diagnostic Testing of Influenza

Humana Claims Payment Policy Subject: Laboratory – Diagnostic Testing of Influenza    Medicare Advantage Payment Policy As a Medicare Advantage plan,...

Humana Z-Code Billing for Molecular Diagnostic Testing

Humana Claims Payment Policy   Subject: Z-Code Billing for Molecular Diagnostic Testing    Medicare Advantage Plan Palmetto Region  The Molecular Diagnostic Services...

Important Update: Changes to TRICARE East Region Claims Processing 

Ashley Fernando, RCM Operations Manager, Experity What is TRICARE? TRICARE is the health care program for uniformed service members, retirees,...

Setting Up Insurance Companies for Real-Time Eligibility (RTE) in Experity with Waystar Integration 

Delilah Greve, Lead Systems Integrity Specialist, Experity Real-Time Eligibility (RTE) in Experity, powered by Waystar, allows practices to instantly verify...

Importance of Setting Up Accurate Fee Schedules 

Laura Gilsdorf, Director RCM Operations, Experity Setting up accurate fee schedules is crucial for healthcare providers and their patients. Fee...

Ensuring Accurate Registration and Billing for Managed Medicare, Medicaid, and IPA Patients 

Jen Johnson, RCM Operations Manager Senior, Experity Front desk employees play a crucial role in ensuring a smooth registration process...

The Importance of Lockbox and Bank Access for Payment Posting at Experity 

Elyce Braun, RCM Operations Manager, Experity At Experity, we know that efficient payment posting is key to maintaining a healthy...

May Industry Notes: CPT Code Changes

The AMA recently made changes to CPT codes effective March 31, 2025.  The following may affect urgent care centers.  Code...

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