Ryan Peters

FAQ Q Can I submit claims through availity.com A Availity provides a platform allowing healthcare providers to submit claims electronically to various insurance payers. You can get this done by Logining to Availity: Access the Claims Submission Feature Enter Patient and Service Information: Attach Supporting Documents Review and Submit Check Claim Status . . . . . . . . #MedicalBilling #BillingSolutions #RevenueCycleManagement

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Join us in #Austin November 4–6 at the Texas Association of Health Plans conference! Connect with Phillip Cardona and other industry experts to discuss the current landscape of risk adjustment and quality—and let's talk about how we can collaborate to achieve your 2025 goals. #Texas #TAHP #AlwaysElevating #RiskAdjustment #QualityImprovement 

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Would you like to conduct a final compliance verification against Alliant 3 Amendment 3? If so, please download our free Alliant 3 Strategy and Tracking Tool. Click here to download the tool: https://lnkd.in/eBndMvAm #Alliant #Alliant3 #GSA #Proposal #Compliance #ComplianceReview #AlliantAmendment3 #Amendment3 #LohfeldConsulting

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Healthcare claims processing often poses several challenges. In this article, we explore how CAQH CORE Operating Rules can help simplify this process. Check it out for some tips on implementing these Operating Rules!

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🚀 Brokers, your clients count on you to bring solutions that simplify healthcare administration. Are you equipped with the right tools? ClaimsBridge Network Hosting and Contract Pricing Solutions streamline network management and claims processing, reducing the administrative load while boosting accuracy. Give your clients access to a platform that ensures smoother operations, lower costs, and increased satisfaction. Set yourself apart by offering more than just coverage—offer efficiency and peace of mind. #Brokers #HealthcareSolutions #NetworkManagement #Efficiency #ClaimsBridge #ClientSuccess

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💡 Struggling with balance billing for high-cost specialty J-codes? GTSN can help. We specialize in managing these claims, reducing costs, and eliminating balance billing risks with 100% provider signoff.   Ready to learn how to simplify your claims process and improve member satisfaction? Read our blog, link in the comments below.   #BalanceBilling #HealthcareCosts #SpecialtyMedications

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Reducing total claims costs by over 10% in the first month is meaningful for a TPA, health plan, or CMS program. Increase affordability by seeing ‘everything’ around a-claim-and-all-claims without the restrictions of claims data-centric editing platforms. Learn more about the patented power of Integr8 AI Risk Detection technology at HPRI East – May 22-23 in Boston. Healthcare Payment & Revenue Integrity Series (HPRI) #HPRIEast #Paymentintegrity #paymentintegrityvendors #fraud #healthcarefraud #healthcare #AI

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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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Only 10 days left! 🕒 I-Med Claims' 𝐂𝐨𝐝𝐢𝐧𝐠 𝐔𝐩𝐝𝐚𝐭𝐞𝐬 𝟐𝟎𝟐𝟓 webinar is happening on September 26th. This is your chance to stay ahead with the latest ICD-10 updates. Learn from industry experts and gain the knowledge you need to improve your practice Don't wait—secure your spot today! 🔗 𝐑𝐞𝐠𝐢𝐬𝐭𝐞𝐫 𝐍𝐨𝐰: https://lnkd.in/dKvnEnAp #CodingUpdates2025 #ICD10 #MedicalCoding #Webinar #RegisterNow

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Are you reaching the industry benchmark for 90% clean claims? Achieving this is one of the most important indicators of high-performing revenue cycle management. There are many reasons you may be challenged in this area. Ero Health, and our partners at RCM360, can help you identify how to overcome them and propel you to high revenue cycle management performance: https://lnkd.in/eWikHW99

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Social media investigations can be imperative in how an organization processes future claims and may be used to reduce claim costs. We dive into its potential to change outcomes. #CarrierChronicles https://lnkd.in/eZH4qqgK

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Understanding and Overcoming Denial Code 51: Maximize Your Claims Reimbursement By Almas Rizvi Discover how to tackle denial code 51 related to pre-existing conditions with actionable strategies. Improve your reimbursement rates with expert guidance from Claims Med's revenue cycle management solutions. #MedicalBilling #PreExistingConditions #RCM #InsuranceDenials #HealthcareProviders #ClaimsManagement #RevenueCycleOptimization

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💡 𝐖𝐡𝐲 𝐒𝐡𝐨𝐮𝐥𝐝 𝐋𝐓𝐂 𝐏𝐡𝐚𝐫𝐦𝐚𝐜𝐢𝐞𝐬 𝐎𝐮𝐭𝐬𝐨𝐮𝐫𝐜𝐞 𝐓𝐡𝐞𝐢𝐫 𝐁𝐢𝐥𝐥𝐢𝐧𝐠 𝐎𝐩𝐞𝐫𝐚𝐭𝐢𝐨𝐧𝐬? Managing billing in-house can be overwhelming—complex insurance claims, frequent denials, and compliance demands are just the start. But outsourcing your billing operations can change the game: 𝐤𝐞𝐲 𝐭𝐚𝐤𝐞𝐰𝐚𝐲𝐬:  𝐒𝐚𝐯𝐞 𝐔𝐩 𝐭𝐨 𝟕𝟎% 𝐨𝐧 𝐂𝐨𝐬𝐭𝐬:Reduce overhead and staffing expenses. 𝐅𝐚𝐬𝐭𝐞𝐫 𝐂𝐥𝐚𝐢𝐦 𝐑𝐞𝐬𝐨𝐥𝐮𝐭𝐢𝐨𝐧𝐬: Expert teams handle insurance verifications and prior authorizations seamlessly.  𝐅𝐨𝐜𝐮𝐬 𝐨𝐧 𝐏𝐚𝐭𝐢𝐞𝐧𝐭 𝐂𝐚𝐫𝐞:Free up your staff to prioritize what matters most. 𝐒𝐭𝐚𝐲 𝐂𝐨𝐦𝐩𝐥𝐢𝐚𝐧𝐭:Stay ahead of regulations with trained professionals on your side. 𝐅𝐨𝐫 𝐦𝐨𝐫𝐞 𝐢𝐧𝐟𝐨𝐫𝐦𝐚𝐭𝐢𝐨𝐧: https://lnkd.in/grH7MHmR 𝐂𝐚𝐥𝐥 𝐓𝐨 𝐀𝐜𝐭𝐢𝐨𝐧 : If you need Outsourcing Services for Healthcare, visit us🌐 https://www.staffingly.com 📧 [email protected] 📞 Call Toll Free: (800) 489-5877 📅 Book a Meeting: https://hie.li/meetdan #LTCPhramacyBilling #Outsourcing #HealthcareBPO #PriorAuthorization #RevenueCycleManagement #Staffingly

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Did you know that denied claims cost healthcare providers billions of dollars each year? Don't let navigating the maze of claims submissions impact your bottom line. Learn how Red Sky Health uses #machinelearning to help you maximize your reimbursement rates. #deniedclaims #healthcare #insurance

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Optimize your self-funded healthcare plan with an MSL group captive structure. #MSL #groupcaptives #captives #medicalstoploss #insurance #insurancecompany https://hubs.ly/Q02SRRhK0

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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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Understand the difference between CO, OA, PI, & PR. Our infographic breaks down these key codes, helping you understand how insurance payments are calculated and what you're responsible for. #Insurance101 #MedicalBilling #InsuranceCodes #HealthcareBilling #MedicalBillingTips #RevenueCycleManagement #InsurancePayments #BillingAndCoding #MediBillMD

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