JTS Health Partners’ Post

Keeping up with over 600 annual changes in CMS fee schedules, edits, and pricing logic is a massive challenge. Don't let your health plan get overwhelmed by payment delays and inaccuracies. HealthEdge Source™ Retroactive Change Manager (RCM) allows payers to streamline how they manage retroactive changes. Spend less time on post-payment corrections and reduce manual efforts. Read the data sheet to learn more: https://ow.ly/eLyH50SKp0p #PaymentIntegrity #PaymentAccountability #ClaimsEditing

Did you know, over 60% of #healthplans report that unresolved provider disputes lead to delayed payments, costing both time and trust with their #ProviderNetworks. #Healthplans that don’t automate, monitor, and measure #ProviderDisputes management risk facing #operational bottlenecks, strained relationships, and potential #compliance issues. ❓Why should you care❓ An automated dispute resolution system enables ✅real-time tracking, ✅clear communication, and ✅drill down analytics, ensuring disputes are resolved fast and fair, and empowering your teams with actionable insights to prevent future conflicts, optimize performance, and build stronger provider relationships and network. Don’t let provider disputes drain your resources or damage relationships. Take control with a solution built to enhance efficiency and trust. 👉 Let’s discuss how we can tailor our Provider Dispute Resolution solution to meet your health plan’s unique needs and help you stay ahead of operational challenges. Shoot me a message and I’ll happy to take things ahead for you.😊 https://lnkd.in/gQtYPZhe #HealthcareSolutions #ProviderRelations #OperationalExcellence #HealthcareCompliance #DisputeResolution

Navigating the healthcare system as a provider can often feel like an elaborate game of approvals, especially when it comes to the prior authorization process. Despite advances in technology, this critical element of maintaining financial health elicits groans from many healthcare professionals. Read this blog on our site for an in-depth look at the most common issues healthcare professionals face during the prior authorization process, along with solutions for each identified obstacle: https://hubs.li/Q02xLpHj0 #PriorAuthorization #Healthcare #Blog

Retroactive changes can pose a significant challenge for health plans. The HealthEdge Source™ Retroactive Change Manager is an automatic, proactive solution that can help your health plan reprice and adjust payments. When CMS enacts retroactive changes, we help ensure those claims are identified and corrected quickly—so your teams can spend less time tracking them down and focus on higher-value priorities. Watch the video to see how your plan can take a more efficient approach to #RetroactiveChanges: https://lnkd.in/e5Q2JTYY #PaymentIntegrity #PaymentAccountability #PaymentAccuracy

Unlocking Financial Efficiency: How Outsourcing Billing Can Save Your Hospital Money 🚀 In today’s ever-evolving healthcare landscape, managing costs while maintaining high-quality patient care is paramount. But what if there's a way to boost your financial health without compromising service? Enter #HealthcareOutsourcingServices. Imagine this: A mid-sized hospital struggling with mounting billing errors, delayed reimbursements, and administrative burnout. After shifting to professional outsourcing services, they experienced a 30% reduction in billing errors and a 20% increase in timely reimbursements within the first year! 📈 #HospitalAdministrators and #CFOs, by offloading these crucial yet time-consuming tasks, you free up valuable resources, ensuring your team can focus on what truly matters – patient care. Plus, with experts handling compliance and insurance complexities, the risk of costly errors plummets. Still skeptical? Consider the seamless integration, data security, and scalability options available. Remember, it's not just about cutting costs; it’s about strategic growth and efficiency. Ready to unlock your hospital's financial potential? 🔓 #FinancialEfficiency #HospitalManagement #CFOs #HealthcareIndustry

Today, while assisting a client, I discovered something valuable that I wanted to share with my network of friends. It pertains to the No Surprises Act, and I believe it's worth passing along. As healthcare evolves, so do regulations aimed at protecting patients. A prime example is the No Surprises Act which took effect on January 1, 2022. But what does this mean for both patients and providers? The Act is designed to shield patients from unexpected medical bills for out-of-network services in emergency situations or at in-network facilities. It brings a sigh of relief to many who've faced financial strain due to unplanned medical costs. However, it's crucial to note the Act’s exclusions. For instance, ground ambulance services are not covered by this legislation, leaving a gap that can still lead to unexpected expenses. Understanding the full scope of the No Surprises Act is essential for all stakeholders in the healthcare sector. For a deep dive into its stipulations and to stay informed, visit cms.gov/nosurprises. How is your organization embracing these changes? At BestFit™ PEO Solutions, LLC, we work with PEOs that will help you navigate through these transitions, ensuring a seamless journey without any unexpected surprises. For detailed information on how our services can assist you in selecting the perfect PEO, we invite you to visit our website at www.bestfitpeo.com. Don't hesitate to schedule a meeting with one of our knowledgeable advisors today. #NoSurprisesAct #HealthcareRegulation #PatientProtection #HealthcareIndustry #peo

The cyberattack on Change Healthcare, which began unfolding on February 21, 2024, has led to significant disruptions in healthcare services and claims processing. United Health Group, the parent company of Change Healthcare, detected the attack and took immediate action by disconnecting the affected systems. United Health Group also initiated a loan program to assist providers affected by the service outages, recommending the use of alternative methods and manual workarounds for claims and authorizations during the disruption period. Read more in #MedChiNews - https://lnkd.in/eXxCGEuX

Don’t just correct past errors, educate for ongoing quality. Allow JTS Health Partners to conduct HIM Coding Audits to increase your quality and optimize your revenue. #HIM #HealthcareAudits #JTSHealthPartners

Improving coding accuracy is vital for health plans to deliver value in risk adjustment while meeting the increasing demands of regulatory scrutiny. As healthcare requirements evolve, plans must stay informed and adopt proven strategies to maintain high coding standards. Join us on October 17 at 1:30 pm ET for a RISE webinar where Cotiviti experts review vital areas of coding improvement. Topics include: 🔹 Recent coding updates 🔹 Common errors 🔹 Best practices for enhancing training and QA processes Register today to save your spot and ensure you’re equipped to handle the latest industry challenges. https://bit.ly/4gx626I #HealthPlans #healthcare #RiskAdjustment

Very enlightening read about the impact of the Change Healthcare cyberattack and how it can impact health systems, but more importantly patients. #patientsafety #healthcare