Month: February 2022

6 ways to improve your out-of-network reimbursements, despite surprise billing changes Payer Tactics To Decrease Your Revenue Let’s first talk about the tactics payors use to decrease your revenue. The vendors who work for the insurance companies to reduce out-of-network (OON) payments, such as Viant and Multiplan, each receive over 10 million out-of-network bills each… Continue reading 6 Ways to Improve Out-of-Network Reimbursements, Despite Surprise Billing Changes

CRXIS – Our  Business Intelligence Engine One of the biggest reasons for our success is what we call our CRXIS business intelligence engine. CRXIS serves as one of the largest out-of-network (OON) databases in the industry. No other revenue cycle company has as much information on out-of-network as we do. CRXIS stands for Collect Rx… Continue reading CRXIS – What Does It Mean?

Industry factors affecting your out-of-network reimbursements It’s no secret that out-of-network has gotten more difficult over the past couple years.  Insurance companies are inducing more roadblocks causing difficulty for providers to get their due payments. The same workflow you’ve used to negotiate out-of-network bills is resulting in reduced results. Which are based on restrictions imposed… Continue reading Industry Factors Affecting Out-of-Network Reimbursements

Top 5 Issues & Solutions to Success in Revenue Cycle Management for Out-of-Network Providers Revenue Cycle Management is not easy.  It requires a vast amount of knowledge, attention to detail, and expertise in a variety of skillsets. Providers can have issues like poor cash flow, aged receivables, and increased denials. This is due to the… Continue reading Revenue Cycle Management: Issues & Solutions as an Out-of-Network Provider

Why you’re not “doing fine” with your out-of-network reimbursements Don’t believe us? Keep reading… Some providers believe they don’t need to think about what’s happening with their out-of-network (OON) business because they’ve got it under control through one or more of the various tactics. Unfortunately, what we see all too often is that many times… Continue reading Why you’re not “doing fine” with your out-of-network reimbursements

5 Out-of-Network Myths Debunked Have you heard any of these? Read on! Here at Collect Rx we are continually amazed at how often people either have it half right or not right at all when it comes to the out-of-network (OON) industry realities. What surprises us even more is that providers don’t take advantage of… Continue reading 5 Out-of-Network Myths Debunked!