Whitepapers

The healthcare industry remains highly fragmented. Thousands of community-based physicians and clinics must interact with over 900 payers on a regular basis to ensure reimbursement for services. Each insurer has its own payment and documentation requirements and patient payment responsibilities that vary from plan to plan, adding to the complexity.

The sheer number and diversity of the parties involved have made it difficult to establish mechanisms that can consolidate and streamline connections between payers and providers to support seamless sharing of billing information. It’s true many payers have created their own systems for paying providers and receiving documentation electronically. But these applications are laborious to set up and sometimes require paper processing of a fax exchange to complete the process.

Download this eBook to learn how through a one-time, digital enrollment, you'll be immediately connected to U.S. payers through a single, secure interface, enabling you to receive payments electronically and manage all medical attachments.

Accurately coding complex cardiovascular procedures in the cath lab is incredibly difficult, but failing to do so can cost your organization thousands of dollars per case.

ZHealth audited 2,931 cardiovascular cases from 51 hospitals and healthcare systems over three years and found that only 55.1% of cases were coded correctly to the documentation provided. And for Medicare payments alone, under-coded cases had $8,051 average anticipated under-reimbursement per affected case.

In this report, you'll gain insights on:

• The staggering financial impact of over-coding and under-coding
• The legal and compliance risks beyond the reimbursement impact
• And more!