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Complex Claims

A military veteran shaking a person's hand in the hospital

VA Transformation: What Hospitals Should Expect from VISN Consolidation and CCN Changes

The Department of Veterans Affairs is advancing significant changes to both its Veterans Health Administration (VHA) structure and its Community Care Network contracting strategy. For hospitals and health systems serving…

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Top Complex Claim Trends Affecting Hospitals and Health Systems

Hospital revenue cycles are under sustained pressure as complex claims, driven by denials, prior authorization, non‑standard payers, and rising patient responsibility, consume a growing share of administrative resources while delaying…

Healthcare, insurance

Best Practices for Handling Out-of-State Medicaid Enrollment and Billing

By Jez Garcia, Regional Vice President of Out-of-State Medicaid Services, Elevate Patient Financial Solutions® Out-of-state Medicaid enrollment and billing is a complex part of the healthcare revenue cycle. This complexity…

workers compensation claim process

Maximizing Your Workers’ Compensation Claims

By Josie Sackmann, Executive Vice President of Workers’ Compensation, Elevate Patient Financial Solutions® Even though workers’ compensation claims may make up a small part of a healthcare provider’s A/R inventory,…

Signature

Hiring the Right TPL Vendor: What to Consider

By Cassie Henson, Executive Vice President of Third Party Liability, Elevate Patient Financial Solutions® The summer season has officially begun. More people are on the road, boating and riding all-terrain…