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Streamlining Payer Requests for Information: A Provider’s Guide

RevCycle

Hospitals are facing a growing threat to their bottom lines, namely payer requests for information (RFI’s). Enhance Data Quality & Accuracy Regular Data Audits: Conduct regular audits to identify and correct errors in patient data, such as incorrect insurance information or missing medical codes.

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Illegal information market Rydox shut down by federal authorities

Due

After an investigation, federal authorities have closed an illegal information market and auction site, Rydox. It is alleged that since the creation of the site in 2016, over $230,000 profit has been made by the men, and there have been 7,600 sales of personally identifiable information (PII), stolen access devices, and cybercrime tools.

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Are Your Commercial Credit Files Secure

Your Virtual Credit Manager

In order to manage the risk of extending trade credit, vendors need to collect information on their business customers. What they do with that information after making a credit decision is not a trivial matter. You need to be wary of exposing any information that could be used for insider trading as defined by the SEC.

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Are Your Collection Efforts Myopic?

Your Virtual Credit Manager

Gathering all the details needed to inform a decision becomes a time-eating burden. What if that information isn’t in one place? Too often, customer and AR information is kept in an assortment of data silos. As crucial as the consolidation of information on just three screens was the easy navigation between these screens.

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After the Credit Application: Getting to Know Your Customers Even Better

Your Virtual Credit Manager

Seldom is a poor decision made when there is ample information. One of the biggest challenges for any credit function is making a valid decision when information is lacking. That’s why standard procedure calls for gathering additional credit information until a comfortable decision can be made.

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RMAI Launches Version 13.0 of the Receivables Management Certification Program

RMAi Blog

For more information on RMAI certification for receivable businesses and individuals, please visit the RMAI website at www.rmaintl.org/certification. For more information on version 13.0, More information about RMAI is available at www.rmaintl.org. From Version 1.0 to Version 13.0, The post RMAI Launches Version 13.0

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Upcoming Blog Series on Claim Denials

RevCycle

Real-Time Eligibility & Pre-Service Financial Clearance Providers have the ability to verify a patients insurance coverage and benefits before services are even rendered, which helps prevent denials due to outdated or incorrect information. This can also identify any potential issues, such as the need for prior authorization.