Bikham’s Post

Issues in the Credentialing and the Payer Enrollment journey can severely impact the cash flow of your Health System. If you are facing issues in Credentialing and enrolling your providers with payers, contact Bikham Healthcare to solve them faster and increase your Health System's bottom line: https://bit.ly/3voDARO #BikhamHealthcare #Credentialing #PayerEnrollment #HealthSystems #Providers

Prior authorization is a critical process in healthcare that impacts both patients and providers. Denied healthcare claims due to a lack of prior authorization can result in unforeseen out-of-pocket costs for patients, leading to delays in necessary care. Providers face revenue loss and increased administrative tasks when claims are denied, adding frustration and disrupting care continuity. Denials can also impede access to essential treatments, medications, or procedures, potentially worsening health outcomes. Obtaining prior authorization is key to avoiding these challenges, making it a vital component of the reimbursement process in the healthcare system. #HealthcareClaims #PriorAuthorization #USHealthcare #HealthInsurance #MedicalBilling #ClaimDenial

Are major insurers changing the rules of the game by cutting commissions in the midst of the Medicare enrollment period? Attorney Helaine Fingold discusses why companies are taking this approach, in an article by Nona Tepper for Modern Healthcare. Excerpt and links: https://bit.ly/3AywM6R #MedicareAdvantage #ManagedCare #HealthCare

Medicare's Annual Enrollment Period (AEP) is approaching fast, and major payers are rolling out their offerings. From expanded benefits to innovative care management, this article gives an insightful look at what to expect this year. Health plans, are you ready for AEP? Check it out here: https://hubs.ly/Q02STckS0 #Healthcare #AEP #Medicare #HealthPlans #payers

CMS is proposing a 3% cut to the Medicare fee schedule for 2025! Squeezing margins for providers is not the way to control costs in healthcare. An outcomes-based approach is crucial. Moving further towards Medicare Advantage plans that incentivize this, taking care of the whole patient, and being rewarded for more interactions that help change behavior is key. #fixmedicarenowcampaign #CMS #Medicare #Healthcare #MedicareAdvantage #HealthcareCosts https://lnkd.in/gqEwCVy4

While the MPFS Final Rule is a few years old, it's affected coding documentation changes, compensation impact, and reimbursement projections, and some health systems continue to play catch-up. HSG Advisors has developed strategies and systems to prepare healthcare leaders for the future of value-based care and reimbursement. Learn more. https://lnkd.in/ebzEM4K8 #healthcareconsulting #healthcareleaders #MPFS #hospital #compensation #valuebasedcare

Healthcare providers dealing with credentialing... You're probably missing out on key practices that can save time and reduce errors. Here are the essential tips to keep your credentials accurate and avoid common mistakes. 👉 https://lnkd.in/gmDSYVmz #CredentialingExperts #ProveMDResources #Healthcare #Credentialing #ProveMD

Choosing the right Medicare plan can be complex, but it doesn’t have to be! Swipe through our carousel to discover the 5 essential steps for choosing the right Medicare plan tailored to your needs. Whether you're just turning 65 or looking to switch plans, this guide will help you make informed decisions about your healthcare. 👉 Want to read further? Visit our website for a detailed blog that breaks down each step and provides valuable insights! https://lnkd.in/dKqKsGrv #Medicare #Healthcare #InsuranceTips #SeniorCare #HealthInsurance #BlogPost

Choosing the right Medicare plan can be complex, but it doesn’t have to be! Swipe through our carousel to discover the 5 essential steps for choosing the right Medicare plan tailored to your needs. Whether you're just turning 65 or looking to switch plans, this guide will help you make informed decisions about your healthcare. 👉 Want to read further? Visit our website for a detailed blog that breaks down each step and provides valuable insights! https://lnkd.in/dKqKsGrv #Medicare #Healthcare #InsuranceTips #SeniorCare #HealthInsurance #BlogPost

Medicare Advantage’s popularity is associated with significant Medicare savings, as shown in a new Elevance Health report. From 2010 to 2020, Medicare spending was $431 billion below projections, with higher MA enrollment driving some of the reduction. https://bit.ly/3YzGm15 Fierce Healthcare #HealthPlans #healthcare #payments