Brooke Renn

🔍 Exploring MultiPlan's Healthcare Billing Practices: A Critical Analysis 🔍 In a recent investigation, concerns have been raised about MultiPlan's billing practices within the healthcare industry. MultiPlan, known for its preferred provider organization (PPO) network product and related services, has come under scrutiny for potentially violating the No Surprises Act. MultiPlan's PPO product offers health plans the flexibility to utilize their networks as primary or complementary options. However, recent revelations suggest that clients may bypass agreed-upon rates, leaving providers and patients in the dark until after services are rendered. The No Surprises Act, implemented earlier this year, aims to protect patients from unexpected medical bills by requiring providers and health plans to disclose specific cost breakdowns before services are provided. This raises questions about MultiPlan's practices and whether they comply with these regulations. While MultiPlan has issued statements defending its mission of affordability and fairness, questions linger about the extent of their responsibility and transparency in decision-making. Expert analysis from Jack Hoadley of Georgetown University's McCourt School of Public Policy sheds light on how the No Surprises Act addresses these issues, particularly through advance explanation of benefits (AEOBs) to provide patients with financial transparency before services are rendered. As discussions around healthcare billing transparency continue, it's crucial for stakeholders to understand the implications of these practices on patients, providers, and insurers alike. Read more about the investigation and expert insights in the full article. Let's ensure transparency and fairness in healthcare billing practices for the benefit of all involved. #HealthcareBilling #Transparency #NoSurprisesAct

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Feeling overwhelmed by healthcare decisions? Let's talk strategy. Contact Tennessee Health Advocates for personalized guidance to navigate your health journey. Together, we'll find the solutions you need. Learn more at https://lnkd.in/gV-aGWbW #tennesseehealthadvocates #medicalbills #patientadvocate #healthinsurance #reviewyourbills #understandyourbills #reviewyourmedicalbills #peaceofmind #billingerrors #savetime #savemoney #fairprice #strategy #information #medicalbillingprofession #HealthStrategyCall #HealthcareSupport

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Vital Solutions is much more than just a medical billing company. We are a full service financial and administrative support organization that was designed specifically to meet the day to day needs of Behavioral Health facilities. Our goal is to help our clients perform at the highest level so that they can meet their financial and operational goals. #medicalbilling #revenuecyclemanagement #utilizationreview #verficationofbenefits #claimscollection #licensingandaccreditation #continuiouscompliance #payercredentialing #stafftraining #staffdevelopment #competencytesting #staffonboarding #clinicaldevelopment

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Listen to the first Transformation Billing Tip Tuesday session, where UnisLink's Client Relations Manager, Kerrie Hansen CPC, CCC, shares top billing practice tips for cardiology practices. Learn how to enhance billing efficiency and revenue with our expert insights! #CardiologyBilling #BestPractices #RevenueCycleManagement #Healthcare

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#MakingYouMoney #NoChangeToYourSystem #GetPaidWithUnisLink ✅💰If you want to learn out how message me directly… I promise you that you’ll find something valuable out of my conversation to take skills back to your practice to see where the revenue gaps are in your billing operations and processes.

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If you are out for a walk during the MGMA conference between sessions, why not take the chance to make some new connections? Come find me if you're up for a chat about revenue improvement opportunities or just want to swap stories about our conference experiences! 🙂👏 #NewConnections #UnisLink #MGMA #SanDiego

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Healthcare leaders' transparency about directory inaccuracies marks a pivotal shift. Leaders from top healthcare organizations such as Blue Cross NC. / BlueCross BlueShield of Tennessee, Elevance Health, and UnitedHealth Group have acknowledged a critical issue: #providerdirectory inaccuracies. This admission marks a significant step towards resolving #dataaccuracy challenges underpinning crucial healthcare delivery aspects. In recognizing these inaccuracies, healthcare leaders are not only addressing immediate operational concerns but also laying the groundwork for broader improvements across the industry. 🎥 In our latest Madaket Minute, we explore how transparency drives progress and how progress shapes the future of healthcare. #HealthcareLeadership #ProviderDirectories #HealthcareTransparency #DataAccuracy #MadaketMinute

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Check out our most recent blog post discussing ACO quality reporting changes! 👩‍⚕️ 💉 #ValueBasedCare #Healthcare #ACO #PCP #PrimaryCare #HealthcareManagement #HealthcareBlog #CMS #QualityReporting

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UnisLink’s industry veterans, Patti Peets and James Muir, who have each owned billing companies themselves and possess a combined 50 years of knowledge of billing trends, best practices, revenue improvement opportunities, and operational efficiency, are uniting for an insightful "ask me anything" session. The duo will delve into trending topics while creating an open forum for all to ask their burning questions about revenue cycle management. Don't miss this opportunity for authentic conversations! #RCM #RevenueCycleManagement #AskMeAnything

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Today is the day! Please join Erica G. and Kevin Scalia from Netsmart for an insightful session on automating healthcare revenue cycle management. Learn how prioritizing #RCM automation can simplify reimbursement, empower staff and optimize outcomes. Secure your spot now to gain strategies driven by #data and industry trends. Register here: https://okt.to/8Eb65q #MeaningfulAI #AugmentedIntelligence #AINow

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The math is real simple. Input costs to care have risen by 17.5% from 2019 to 2022 while reimbursement rates have only increased 7.5%. The AHA's own report titled The Cost of Caring dated April 2023 digs deep into many confluences that have driven cost up. Labor costs, Supply costs, and drug cost for instance. FTE contract expense rose by over 200% from 2019 to 2022. This rise in contract labor expense fueled for a large part an increase in overall labor expense. Worse, there is a nationwide shortage of nurses. Medical supplies per patient have increased over 15% between 2019 and 2022. Healthcare system supply chains need to undergo a deep evaluation of every facet of of their supply chain cost. From understanding raw material cost, container rates, bunker fuel prices and a reimagining of the logistics and distribution model, Healthcare supply chain is one of the least transparent supply chains with national security implications. https://lnkd.in/efwD4a6W

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15 Vital Patient Experience Metrics Healthcare Call Centers Must Track - Discover 15 essential patient experience metrics for healthcare call centers to track for improving patient satisfaction, loyalty, & financial performance. https://bit.ly/4ai6HEM

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Have you read the latest report from Waystar + The Health Management Academy? Read it now to understand how moving toward an RCM platform strategy can impact your organization's financial health. Learn more: https://gag.gl/hzHv4U

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Provider #credentialing isn't just a checkbox; it's vital for #healthcaresafety. Learn strategies for managing high volumes with our Director of Credentialing Operations, Amy Magnus. From process streamlining to tech leverage, gain insights to thrive!

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Big numbers, bigger savings! 💰 Tennessee Health Advocates has proudly saved our clients over $1.1 MILLION DOLLARS in healthcare costs. Imagine what we could do for you! Start your journey to savings now at https://lnkd.in/gV-aGWbW #MillionDollarSavings #HealthcareCosts #SaveOnHealth #tennesseehealthadvocates #medicalbills #patientadvocate #healthinsurance #reviewyourbills #understandyourbills

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🌟 Ensuring Medicare Enrollment for healthcare providers is crucial for accessing vital services and delivering quality care. Here are the key steps and recent updates to streamline the process: ➡️ Determine eligibility criteria based on provider type and services offered. ➡️ Collect essential documents such as National Provider Identifier (NPI), Tax Identification Number (TIN), and supporting credentials. ➡️ Navigate through the CMS Medicare Enrollment Application accurately and efficiently. ➡️ Submit applications through the Provider Enrollment, Chain, and Ownership System (PECOS) for seamless processing. ➡️ Stay informed about the latest CMS updates and regulations to ensure compliance. ➡️ Optimize the enrollment process to minimize delays and expedite approval. ➡️ Become a partner with CARE RCM SERVICES to handle Medicare Enrollment seamlessly, ensuring accuracy and efficiency. Don't let the complexities of Medicare Enrollment hinder your practice's growth and accessibility. Trust CARE RCM SERVICES to navigate the process with expertise and professionalism. Let's ensure your practice is equipped to provide exceptional care to Medicare beneficiaries. Contact: Farhan@carercmservices.com #MedicareEnrollment #HealthcareProviders 

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Unlock the power of data in utilization management with our latest blog by Cynthia Young, MBA, BSN, RN, CMPC: 🔗https://lnkd.in/eKphrvSq  Learn how automation is revolutionizing the field and discover strategies for developing your data story. From compliance to provider performance, this blog covers it all. #UtilizationManagement #DataAutomation #HealthcareTechnology #CMSA #CaseManagement #CMSABlog

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Join NRC Health for the first installment of “CAHPS Insider Live,” a quarterly webcast for healthcare leaders who want to stay ahead of the curve! During our June webcast, we'll focus on updates and proposed changes to the CAHPS survey, specifically the HCAHPS updates set for January 2025. Our experts will provide practical advice, answer your questions, and help you navigate the new landscape of CAHPS surveys. Sign up today! #HumanUnderstanding #CAHPS #PatientExperience

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