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Connections Blog Title ZirMed’s Blog

Welcome to the ZirMed Connections blog! This is your direct connection to the insight from ZirMed’s massive cloud-based network of more than 300,000 healthcare providers, millions of patients and billions of healthcare transactions. You’ll hear from ZirMed’s leaders on the hottest topics in the healthcare industry and the inside scoop on the latest technology projects and company updates.

End-to-end or means to an end: Choosing the right clearinghouse

As the rules and requirements around health insurance continue to increase in complexity, and financial pressures intensify due to the transition from fee-for-service to value-based billing, more healthcare providers are beginning to look to..

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CMS OPPS 2017 Final Rule shows changes to Provider Based Status

CMS recently released the Outpatient Prospective Payment System (OPPS) Final Rule for 2017. For organizations that have provider-based clinics, this year’s final rule offers guidance as to the changes in how reimbursement will be handled. Let’s take a..

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What Providers Need to Know about the Road to MBI

By now you’ve probably heard that one of the outcomes of the passage of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) is that the Centers for Medicare and Medicaid Services (CMS) will be replacing the old Health Insurance Claim..
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Top 5 Ways to Reduce and Manage Medical Necessity Denials

By training and temperament, physicians tend to do whatever it takes to help those who need it. That attitude is admirable overall – after all, you wouldn’t want to go to a doctor who didn’t have your best health interests at heart.

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Breaking News from CMS: Opportunity to settle outstanding Level 3 and 4 inpatient claims for 66%

Do you have level 3 or 4 inpatient claims that were denied and that you have appealed? If so, you may qualify to partake in the second settlement process with CMS.

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