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Medical Billing

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PrognoCIS offers complete medical practice solutions for medical billing from patient eligibility checking and integrated payments, to advanced clearing house claim management features; and all the way through the complete revenue cycle to patient account resolution.

What Is Capitation Fee In Healthcare?

What Is Capitation Fee In Healthcare?

US healthcare is researching ways to tackle the challenges of lowering costs and improving the quality and the outcome. The traditional, age-old Fee for Service model is under scrutiny for being expensive and for focussing on rewarding medical providers for volume and quantity of services rather than the results. Within the current fee-for-service system there are …continue reading

What is Value-based healthcare?

What is Value-based healthcare?

With growing pressure from the government and business groups to change the emphasis of health care system to enhancing outcomes, lowering budgets and growing general access, the healthcare sector is shifting away from fee-for-service payment model. The shift towards quality-based care and patient outcomes (such as reducing hospital readmissions, using certified health IT, and improving …continue reading

Your Medical Credentialing Questions Answered

Your Medical Credentialing Questions Answered

What is Medical Credentialing? Medical Credentialing is the process of objective evaluation of a medical provider’s current license, training and/or experience, competence, and ability to provide a particular service and/or perform specific procedures.  This process involves verifying the qualifications, background and the legitimacy of a physician or advanced healthcare practitioner’s. The process of Medical Credentialing …continue reading

How to Optimize Medical Billing Services with Revenue Cycle Management

How to Optimize Medical Billing Services with Revenue Cycle Management

  The purpose of this paper is to align our services more closely with the needs of our customers and to make this information publicly available. The research, performed by our staff researchers, focused on some of our key competitors in the Revenue Cycle Management (RCM) market, and their offerings, which resulted in a value score of each RCM company. …continue reading