Jennifer Chen

Healthcare organizations that have invested in IDR processes are recovering meaningful revenue, while many practices still have backlogs of unpaid out-of-network claims due to limited internal resources. The difference lies in infrastructure.

Maria's knee surgery went perfectly. Her surgeon, anesthesiologist, and hospital staff worked seamlessly together. There was just one problem: while her surgeon and hospital were in-network, her anesthesiologist wasn't.

What it means for healthcare providers navigating reimbursement, QPA calculations have become one of the most critical and misunderstood elements in the revenue recovery process, directly impacting IDR success rates.

When choosing the right approach for your IDR claim filing, understanding the difference between batched and individual submissions can significantly impact your revenue recovery timeline and administrative costs.

When it comes to protecting your emergency medicine revenue and ensuring fair reimbursement, specialized IDR guidance is essential.…

When it comes to understanding your revenue recovery options, mastering the IDR timeline is an unsung hero. Acting as a foundational layer of dispute resolution between your practice and insurance companies...