Ron Brank, a group vice president for Symbion in Nashville, Tenn., offers 10 points on using cost data for managed care contract negotiations. 1. Meaningful data is essential. In managed care contract ...

2025 SEP 17 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News-- Investigators publish new report on Managed Care. According to news reporting out of Providence, Rhode Island, by ...

Medical billing and coding systems ensure that health providers get paid for their services. Learn the steps in medical billing and medical coding.

Early managed care prioritized coordinated primary care “gatekeeping,” selective contracting, utilization/quality controls, ...

Workforce shortages, regulatory complexities and economic challenges have put hospitals and health systems under immense pressure to improve operational efficiency, accelerate payments and reduce ...

Here are seven best practices from managed care contracting experts to help you get paid fairly by third-party payors. 1. Give yourself ample time to negotiate a contract. To convince a payor that you ...

Coding of physician office visits can be very confusing – and is ever-changing. Every year, regulations and guidelines change, and it is difficult for providers to keep up. Most groups have coding ...

CLEVELAND, Ohio — The Cleveland Clinic is turning to generative AI to review medical coding in a fraction of the time that it takes humans take to do the same task, the health system announced Tuesday ...

As a practicing physician and former chief innovation officer, I experienced firsthand how the growing number of administrative tasks are leading to clinician burnout and becoming a major barrier to ...