Kirk Lavar Curtis, MBA

Hot on the heels of recent lawsuits from players like UnitedHealthcare, Centene, and Humana, the Centers for Medicare & Medicaid Services says the call center metric will have a smaller impact on star ratings moving forward. Beginning in 2026, 60% of a plans' rating will be based on process, outcome, and improvement measures; the remainder will be based on patient experience and access measures.

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#MedicareAdvantage plans facing margin pressures are turning to tactics that create #RevenueCycle challenges for providers. Explore key strategies to help providers manage payor relationships, resolve issues, and reduce denials and payment delays: https://bit.ly/4duwsmL

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ON-DEMAND WEBINAR: Is your RCM partner up to today’s security challenges? If you’re unsure, it’s time to find out. Watch to uncover how recent cybersecurity events have refocused vendor-selection requirements and what to evaluate during review.  #Cybersecurity #RevenueCycleSecurity #RCMSecurity

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Tired of patients feeling frustrated over new #insurance plans? PrimeRx streamlines #eligibilityverification with just a few clicks: ✨ ✔️Ensure accurate coverage upfront. ✔️Eliminate unexpected surprises and delays at the counter. ✔️Save time while simplifying insurance updates. By reducing hassle and confusion, you can focus on providing the exceptional care your patients deserve. Start the year with smarter, stress-free operations—try PrimeRx today! 👍 Learn more: https://hubs.li/Q0318kKT0 #PrimeRx #PatientCare #PharmacySolutions #EfficiencyMatters

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As healthcare providers continue to navigate the complexities of modern claims management, the latest data from a 2024 report paints a concerning picture: denial rates are rising, complicating revenue collection and creating a cascade of operational challenges. Click the link to read more: https://lnkd.in/gHtCYsBE #denialmanagement #practicemanagement #revenuecyclemanagement #medicalbillingcompany

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Retrospective reviews are a valuable part of the risk adjustment workflow; however, spotting and closing risk gaps after the claim has been submitted still leads to avoidable delays in receiving accurate care funding. Adopting prospective risk adjustment workflows enables you to close those gaps before the claim is submitted, not after. And as we explain in this video clip, that’s just one of the many benefits of adopting prospective risk adjustment processes. https://lnkd.in/ePeGTiPB #riskadjustment #carefunding #healthtech

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While billing requirements continue to create challenges for #homehealth and #hospice staff, those who outsource RCM are reaping the benefits. Learn more: https://shorturl.at/t9GQh

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The claim adjudication process is a pivotal step in the #revenuecycle and determines a provider’s reimbursement for services rendered. Read the blog post to learn more about claims adjudication and get strategies that #healthcare providers can use to improve this process: https://lnkd.in/gD3q2Sbc #claimsmanagement

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If adjudicating claims is a tough task for payers, it is even harder for providers. Thirdwave automates adjudication for you, returning unrivaled rebate revenue...and more. Contact us to learn more. https://lnkd.in/gdC-uQBR #ThirdwaveRx #hospitals #pharmacies #longtermcare

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📊 When healthcare providers and payers don’t have real-time data, out-of-network claims become a guessing game. 🤔 ClaimsBridge connects the dots with a robust data network, so you can deliver fast, accurate claims processing. ✅ Stop guessing—start solving. #OutOfNetworkClaims #HealthcareSolutions #ClaimsProcessing #DataDriven

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A New Perspective on Denial Management. Claim denials can feel like roadblocks, but we see them as opportunities for improvement. Recently, we helped a clinic reduce denials by 94%, boosting their revenue cycle efficiency. How? With robust Claims Prioritization, AR aging analysis and strategic follow-ups. Struggling with denials? Let’s turn challenges into wins. #DenialManagement #RCMSolutions #HealthcareEfficiency

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The #Medicare PFS Final Rule is here! 2025 will bring large changes to reimbursements, the removal of G0511, additional use cases for G2211, and the brand-new program Advanced Primary Care Management. Got questions? We’ll break down the most important insights from all 3,000 pages(!) in our upcoming webinar. Register here: https://lnkd.in/e-wEgM38

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Join our webinar on Consolidated Service Claims to learn how to streamline your billing process. This enhancement enables you to consolidate claims when a patient has more than two encounters with the same payer on the same day. Claims can also be consolidated by day, week, month, or case. No more relying on NextGen's EDI utility—this feature meets CMS billing requirements without the need for outside tools. Sign up today to see how it can benefit your workflow! https://bit.ly/3TRLbBx #BillingSolutions #ConsolidatedClaims #HealthcareBilling #RevenueCycleManagement #HealthIT #OSISWebinarSeries

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As an HMO, if your claims process is so slow that healthcare providers hesitate to deliver care, you need to read this. The frustration and delay that comes with inefficient claims processing can affect the running of your health insurance operations effectively. As you plan towards Q1 2025, prioritize resolving this challenge by choosing a software solution that helps you: ■ Automate claims processing so approvals are faster and error-free. ■ Integrate real-time data so you can collaborate seamlessly with hospitals and patients. ■ Empower your customers with self-service portals to track claims and access services effortlessly. With KompleteCare, you can finally take control of your operations, reduce losses, and provide a smoother experience for your customers. Ready to transform the way you manage health insurance? Send a DM. #healthinsurance #hmo #hmoinnigeria #claimsmanagement #hmosoftware

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Prevent your 5% loss in net patient revenue! Claim denials are more than just paperwork—they disrupt cash flow, delay patient care, and add financial strain for everyone involved.  In fact, denied claims lead to substantial revenue losses, with hospitals facing annual losses averaging $5 million, which can represent up to 5% of net patient revenue.  Providers lose valuable revenue, and patients are left with unexpected bills and delayed treatments.  It’s a challenging cycle, but what if you could stop denials before they even happen?  Good news—you can, and it’s easier than you’d think. Curious? Check out our blog: https://lnkd.in/gBHaZi7s Want to see it in action? Connect with us for a live demo: https://lnkd.in/gg7XuNAu #AI #Healthcare #HealthTech #DenialManagement #ClaimDenials #Droidal

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🏥 While insurance is a crucial part of Revenue Cycle Management (RCM), it's only one piece of the puzzle. 🧩 Innovative MedTech recognizes that effective RCM encompasses the entire patient journey, from pre-admission to final collection and beyond. We go beyond claims submission, focusing on key areas like contractual agreements, patient volume management, data analysis for both rejections and accounts receivable, collection strategies, case management, and a continuous cycle of improvement. Our expertise, combined with a deep understanding of the medical landscape, helps healthcare providers optimize their entire revenue cycle, leading to financial stability delivering exceptional, patient-centered services, the foundation for patient satisfaction. 📈 يعتبر التأمين الصحي جزءاً مهماً من إدارة دورة الإيرادات. ندرك أن الفعالية تشمل جميع مراحل رحلة المريض، مع التركيز على مجالات مثل اتفاقيات التعاقد، وإدارة حجم المرضى، وتحليل البيانات، واستراتيجيات التحصيل، مما يساعد مقدمي الرعاية الصحية على تحسين دورة الإيرادات وتحقيق استقرار مالي وتقديم خدمات متميزة تركز على رضا المرضى #InnovativeMedTech #RevenueCycleManagement #HealthcareInnovation #PatientJourney #MedicalBilling #ClaimsProcessing #FinancialStability #PatientSatisfaction #DataAnalysis #HealthcareProviders #ContinuousImprovement

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Access to care in rural communities continues to shrink. Utilizing a digital care platform like Actuvi can allow specialties, primary care, RHCs and FQHCs to expand their geographic constraints and increase access to care. Additionally, Actuvi allows them to deploy preventative health measures like RTM and RPM along with other digital care services. #prevenativehealthcare #healthtech #digitalcare

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Struggling with first-pass healthcare claim denials? Our analysis reveals that up to 20% of denials are from coverage-related issues like incomplete or conflicting data. Discover how we're tackling these challenges to ensure smoother claims processing and better patient care. ​https://hubs.li/Q02JFWkz0 #Innovation #ClaimDenials #PatientCare​ #HealthTech ​

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