Turning Data into Actionable Insights
Key Performance Indicators (KPIs) are the lifeblood of a healthy revenue cycle. From AR days to denial rates, these metrics show whether your workflows are on track or need adjustment. But too often, practices either drown in too many reports or lack the ability to uncover and act on the real insights. Predictive analytics and […]
How to Prepare for CMS WISeR: A New Era of Pre-Service Review
Medicare is entering a new era of oversight. With the launch of the Wasteful and Inappropriate Service Reduction (WISeR) model on Jan. 1, 2026, CMS will shift from post-payment audits to technology-driven pre-service review and prior authorization — a move that mirrors commercial payer processes. Initially focused on select services in six states (Arizona, New […]