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September and October 2025 Payer Updates
Discover the growing challenges of Uncompensated Care to better understand how hospitals can not only fight against it but also actively recover revenue.
Enhance your patient engagement by using Office Ally’s Patient Ally solution to provide your medical patients with an easy-to-use patient portal.
As Medicaid redetermination runs its course, it’s time to start thinking about the future. Are your self-pay management processes as efficient as they should be?
Discover how your medical practice can benefit from implementing and using e-prescribing software for a simpler and more accessible prescription process.
Over half a million people, including children, were falsely dropped from the Medicaid program for procedural reasons. Meaning there was an error in the renewal process that prompted their removal despite remaining eligible.
At the time of writing, we’re about four plus months into the unwinding, or redetermination, process, which officially began April 1, 2023. For most states, this process will stretch to 12 months, meaning we’re around one-quarter of the way through. Some key findings have started to emerge.
Billing is a necessary part of the healthcare revenue cycle. All medical billing information must be correct. This will help to avoid underpayment and keep medical practices running within budget. Mistakes and miscommunication cause issues and frustration for the healthcare payer and the office staff. Clearly, explaining healthcare billing can expedite the process, leaving everyone satisfied. It sounds so simple — shouldn’t it always work this way?
Electronic data interchange (EDI) has become a significant part of healthcare practices’ business. But what is EDI, and why is it so important?
Medicaid redetermination is the process of reviewing Medicaid eligibility for all enrollees to confirm they still qualify for the program following the end of the continuous enrollment provision. It officially began April 1, 2023.