Prior Authorization Is Changing—Is Your Team Prepared?
If you’ve ever felt frustrated by the slow, confusing process of getting treatments approved through prior authorization, you’re not alone. Many providers face delays, resubmissions, and long hours of back-and-forth communication just to get approval for services their patients clearly need. But here’s the good news: change is finally coming. On Monday, federal […]
The ROI of Streamlining Prior Authorization with MedCore
Today’s healthcare system moves quickly—but time and resources are often limited. From mounting administrative tasks to evolving payer requirements, one process continues to bog down providers, frustrate patients, and drain valuable resources: prior authorization (PA). It’s a necessary step for many treatments and prescriptions, but when the process is slow or inefficient, the consequences can […]
Why MedCore Is the CFO’s Favorite Partner in RCM
Modern healthcare isn’t just about patient outcomes—it’s also about protecting your bottom line. While providers focus on delivering great care, someone has to make sure the bills get paid, claims go through, and the revenue keeps flowing. That’s where the CFO comes in—and where the right partner in RCM becomes essential. The Chief Financial […]
Top 6 Admin Errors Draining Healthcare Revenue
Running a healthcare practice means wearing many hats. You’re not just delivering care—you’re managing staff, navigating insurance processes, staying compliant, and trying to keep the business running smoothly. And while clinical care often gets the spotlight, what happens behind the scenes can make or break your healthcare revenue. Many providers don’t realize just how much […]
Boost Practice Profits with Remote RCM
Running a healthcare practice isn’t just about providing excellent care—it’s also about making sure the business side runs like clockwork, especially when it comes to getting paid. That’s where RCM, or Revenue Cycle Management, plays a huge role. In fact, a January 2024 MGMA poll revealed that 70% of medical practice leaders are prioritizing finance […]
Cut Healthcare Labor Costs by 40% Without Sacrificing Quality
Staffing is one of the most pressing challenges for healthcare providers today. Between rising wages, high turnover, and a growing demand for services, many organizations are feeling the financial strain. In fact, labor expenses now account for nearly 60% of a hospital’s total operating costs, with U.S. hospitals seeing labor cost increases of over $42.5 […]
How to Train Your Staff for Accurate Medical Coding
Filing false claims can result in severe penalties, including fines of up to three times the program’s loss plus $11,000 per claim. Accuracy in coding is not just about billing—it’s about financial stability, compliance, and patient care. Accurate medical coding is the backbone of a smooth-running healthcare practice. It ensures proper billing, minimizes claim denials, and […]
Effective Recruitment & RCM Strategies for Healthcare
Staffing shortages. Financial strain. Growing patient demands. Healthcare providers are being pushed to their limits. By 2030, the World Health Organization (WHO) predicts a global shortage of 4.5 million nurses and 310,000 midwives—making it harder than ever to deliver quality patient care. On top of that, financial pressures and operational inefficiencies are making sustainability a […]
Solutions for Medical Billing: Reduce Errors, Increase Revenue
Medical billing plays a vital role in the success of any healthcare practice. When done accurately, it ensures timely payments, reduces administrative stress, and strengthens a practice’s financial health. However, billing errors, denied claims, and inefficiencies can create significant revenue losses and operational headaches. In fact, in 2024, the Centers for Medicare & Medicaid Services (CMS) […]
How Global Workforce Trends Are Reshaping Medical Coding
Medical coding is evolving rapidly as new technology, global workforce trends, and shifting healthcare demands transform the industry. One of the most significant changes is the rise of artificial intelligence (AI) in medical coding, which is streamlining processes and improving accuracy. The AI in medical coding market was valued at $2.4 billion in 2023 and […]