Michael Arian

What is the bottom line if you have financial responsibility for a provider group? Your competitors have the ability to know your contracted rates for everything you do. That's the bad news. The good news is that you can know theirs to help you in your next negotiation.

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The #RevenueCycleManagement (RCM) process has become an important Auxis service offering. #Healthcare organizations have been turning more and more to #nearshore #outsourcing to support this critical part of their business. Additionally, #automation has become a key component in driving productivity and efficiency in this area. You can learn about some of the automation opportunities that we have helped our clients uncover and implement in conjunction with the #RCM outsourcing that we provide in this recent case study with one of the leading healthcare companies in the US: https://lnkd.in/eEgm6MKh

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Learn more about strategies for improving Star Ratings.

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This article from Forvis Mazars US Healthcare Practice offers takeaways from the Centers for Medicare & Medicaid Services calendar year 2025 #OPPS Final Rule, impacting HOPDs and ASCs: https://lnkd.in/gy-mu5MV

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🚀 The 2025 Medicare Advantage Final Rule brings transformative changes to healthcare! Dive into our detailed blog post to explore how these changes will enhance beneficiary protections, refine quality measures, and ensure program sustainability. Discover how RapidCalim’s AI-driven solutions can help you adapt and excel in this new era. #HealthcareInnovation #MedicareAdvantage #AIHealthcare #HealthTech

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Join us for a crucial session where we delve into the Health Equity Index. Learn how it's calculated and its significant impact on quality and Star metrics for Medicare Advantage plans. View the SOA Health Meeting agenda here: https://optumin.co/ssw6cc #Optum #SOA #HealthEquity #Medicare #Payer

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Writing for Health Data Management, Cotiviti's Katie Devlin, DHSc, MS, CPHIMS, recommends prioritizing interoperability with five proactive strategies for health plans to improve clinical data exchange with their partners. https://bit.ly/3YGiLxm #interoperability #HealthPlans

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What is the ROI on your investment in #AI? We are all looking to bots to solve some of our #revenuecycle challenges, but will it deliver on the hype? The right balance of people, processes, and technology is the key - knowing when and where to place artificial intelligence tools to meet your organization's specific goals. Wondering where to start? Let's chat. #healthcare #technology

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HEDIS aims to elevate measurement standards and enhance the quality of patient care. It is one of the most important tools in the payers' toolbox, so walking through the "what, how, and why" behind HEDIS is incredibly valuable. Read the blog for details: https://okt.to/FBkERU

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💡 Revenue Cycle Management: More Than Just Numbers 📊 Key insights from Vizient's Pooja Solanki: Revenue cycle = 3% of hospital indirect spend, but critical for patient experience Post-pandemic challenges: labor shortages, cash flow issues Automation and outsourcing can boost efficiency Focus on performance, not just cost reduction Quick wins: Maximize point-of-service collections Streamline insurance verification Improve coding speed and quality 🔑 Takeaway: Revenue cycle is a vital part of the patient journey, impacting both financial health and consumer satisfaction. How is your organization optimizing its revenue cycle management? #HealthcareFinance #RevenueManagement #PatientExperience #HealthcareTech #OperationalEfficiency

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By focusing on supply chain and pharmaceutical optimization, revenue cycle enhancement, clinical process improvement, and data analysis, Lawrence General Hospital increased net revenue, managed costs effectively, and enhanced the patient experience. See how Nordic helped the community hospital enable meaningful revenue cycle advancement: https://ow.ly/ZEyY50TtIqR #Healthcare #RevenueCycle #RevenueCycleManagement

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The new U.S. Acute Care EHR Market Share 2024 report from KLAS shows one electronic health record vendor, Epic, pulling well ahead of the pack as it continues to add new hospital and health system clients. #Healthcare #KLAS #HealthRecord

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🔔 CMS's recent push for electronic prior authorization is transforming the payer landscape. This Cognizant article outlines critical steps payers can take to get ahead of these changes. As someone on the front lines of helping healthcare organizations navigate regulatory mandates, here’s what I’m seeing: ▪️Biggest Shift: Automation and interoperability are now essential to meet compliance and streamline operations. ▪️Key Challenge: Limited resources and tight timelines make it difficult to balance compliance and operational priorities. Readiness Tip: ➡️ Conduct a gap analysis of your current prior authorization processes: ➡️ Identify manual workflows that could be automated. ➡️ Assess whether your data-sharing capabilities meet CMS interoperability standards. ➡️ Early action here can reduce administrative burdens and improve decision-making speed. Let’s discuss—how is your organization preparing for these changes? #CMSCompliance #HealthcareInnovation #Interoperability

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