Key Takeaways on the Value-Based Care Mode Many healthcare providers are paid based on the volume of services they deliver, such as the number of tests or procedures. The fee-for-service (FFS) vs value-based care model can result in overtreatment, poorer care, and higher costs.1 How a Value-Based Care Model Works A value-based care (VBC) model, […]
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Key Takeaways on Azalea as the Best EHR for Rural Providers The Rural Health Transformation Program (RHT Program) is underway. States have been awarded funds through 2027 to be used to improve access to quality healthcare in rural areas while supporting the financial challenges rural hospitals and providers face. The program specifies what initiatives the
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Key Takeaways for RHC EHR Billing with UB-04 Software RCM Integration When selecting an electronic health record (EHR) billing solution for your rural health clinic, you want features that streamline billing, ensure compliance, and maximize revenue. There’s functionality you want to make sure your EHR offers. Like UB-04 software RCM integration, claim splitting, CPT bundling,
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Key Takeaways on a Revenue Cycle Dashboard Healthcare revenue cycle management (RCM) is no small task. Constantly changing requirements, regulations, and complex processes make it laborious and error prone. But you have to make revenue cycle management second only to patient care to survive. In this article, we share why a healthcare revenue cycle dashboard
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Key Takeaways on Clinically Integrated Networks A clinically integrated network, or CIN, is a structured alliance of hospitals, clinics, and/or providers. Members work together around shared quality outcomes, coordinated care, and collective payer strategy. For independent and rural healthcare organizations, a CIN offers a way to improve performance. It also helps reduce unneeded cost variations,
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Key Takeaways Between an EHR vs EMR An electronic medical record (EMR) is a digital version of a paper chart used inside a single clinic, while an electronic health record (EHR) primarily focuses on clinical documentation and data exchange, modern systems often integrate with or include administrative and billing tools. Understanding the difference between the
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Key Takeaways on What Is a Critical Access Hospital A critical access hospital, or CAH, is a small rural hospital that meets federal criteria to receive cost-based reimbursement from Medicare. These hospitals keep emergency and essential inpatient services available in communities too small to support a full acute-care facility. They provide 24×7 emergency care, short-stay
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Key Takeaways on CMS Final Rule 2026 The Centers for Medicare & Medicaid Services (CMS) announced its CMS final rule 2026 policy changes for the Medicare Physician Fee Schedule (PFS) on October 31, 2025.1 Actual changes go into effect on or after January 1, 2026. Other recent regulatory changes are also finalized. Changes that will
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Key Takeaways to Maximize RHC Reimbursements In 2023, hospitals absorbed $130 billion in Medicare and Medicaid underpayments — a roughly 14% annual increase over 2019.1 And underpayments are one reason providers can benefit from knowing how to maximize reimbursements for rural health clinics (RHCs). Why? Because a higher portion of RHC payments come from public sources compared
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Critical access hospitals (CAHs) get financial protection and access to government resources to support care in rural areas. Hospitals are only eligible for the CAH designation if they participate in the Medicare program. To earn the CAH designation, facilities also need to meet certain critical access hospital requirements. Criteria include distance, type of facility, staffing,
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