Healthcare is driven by rules and regulations. Non-compliance with government coverage determinations and private payer reimbursement rules increases costs and reduces margins at every point in the revenue cycle. The traditional methods of ensuring compliance to healthcare rules and regulations — such as CMS Medical Necessity rules are complex, time-consuming, highly subject to error, and expensive. According to the National Health Insurer Report Card, claims payments are often late and insurers reported the correct contracted payment rate only 62% to 87% of the time.
Cancer Treatment Centers of America Optimizes Patient Care With InRule
Cancer Treatment Centers of America (CTCA) is a national, comprehensive cancer care network in the United States. Founded in 1988 on a personalized,...
