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medicaid

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Medicaid Redetermination Update: What Changed in 2024?

Medicaid Redetermination Update: What Changed in 2024?

The Medicaid Redetermination process has finally run its course, leaving behind a trail of lessons, challenges, and critical insights. As we reflect on the impact and explore what’s next, this blog breaks down the key developments and steps providers can take to prepare for the future.

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Healthcare Audits

Blogs

Healthcare Audit Checklist: Everything You Need for an Internal Audit

Healthcare Audit Checklist: Everything You Need for an Internal Audit

Healthcare audits can feel overwhelming, but with the right preparation, they don’t have to be. This step-by-step checklist is designed to help hospital finance teams stay organized, reduce risk, and approach audits with confidence.

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self pay patient definition

Blogs

Self-Pay Patients Frequently Asked Questions & Answers

Self-Pay Patients Frequently Asked Questions & Answers

As self-pay patient volumes continue to rise, hospitals and health systems must adopt clear, consistent strategies to manage this growing population. This blog answers common questions and explores tools, like Office Ally’s MAPS, that improve self-pay management while enhancing the patient experience and boosting revenue recovery.

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medicaid recovery audit contractors

Blogs

Recovery Audit Contractors: What Do They Do & More

Recovery Audit Contractors: What Do They Do & More

Recovery Audit Contractors (RACs) are tasked with identifying improper Medicare payments—but their audits can be disruptive for hospitals and practices. This blog explains how RACs operate, what types of audits they conduct, and how providers can prepare with the right tools. Learn how Office Ally’s Audit & Denial Tracker can help streamline audit responses and protect your revenue cycle.

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what are commercially insured patients

Blogs

Comparing Self-Pay Patients with Insured Medical Patients

Comparing Self-Pay Patients with Insured Medical Patients

Explore the critical differences between self-pay and insured patients, and discover actionable strategies to optimize billing practices and patient management. Learn how understanding these nuances can protect your hospital’s revenue and enhance patient experiences.

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audit management system software

Blogs

Key Features in Health Insurance Audit Management Systems

Key Features in Health Insurance Audit Management Systems

Healthcare audit management systems streamline manual processes, enhancing efficiency, compliance, and security. Essential features include automation, customizable workflows, seamless integration, advanced security, and real-time analytics.

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revenue and revenue cycle management

Blogs

Important Self-Pay Revenue Cycle Metrics to Track

Important Self-Pay Revenue Cycle Metrics to Track

Effective self-pay account management is vital for hospitals to maximize revenue and enhance patient experiences. Explore key revenue cycle metrics—including screening rates, conversion efficiency, time-to-conversion, and cost-to-collect—to optimize financial performance and streamline your operations.

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Multiple Insurance Policies

Blogs

How to Navigate Complex Healthcare Insurance Policies

How to Navigate Complex Healthcare Insurance Policies

Simplify complex insurance situations like coordination of benefits, COBRA, special enrollment periods, and more. Explore proven tips to streamline billing, boost patient satisfaction, and maximize reimbursements.

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nursing resources, turnover and turnover rates

Blogs

Uncompensated Care’s Impact on Hospital Staffing, Staff Morale & Patient Experience

Uncompensated Care: How it Impacts Staffing, Morale, & Patients

Discover how uncompensated care affects hospital staffing, employee morale, and patient experiences. Learn about the hidden costs hospitals face, the staffing challenges they create, and practical strategies to protect your revenue cycle and patient satisfaction.

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