Uncovering Revenue Loss: How Under-Coding Impacts Infusion Services
In today’s healthcare landscape, infusion services are essential for delivering life-saving therapies to patients with chronic illnesses, cancer, autoimmune conditions, and more. Despite the complexity of these treatments, many providers face a persistent and often overlooked threat to their financial performance: under-coding. Unlike over-coding, which can trigger audits and compliance risks, under-coding quietly erodes revenue, […]
Breaking the Cycle of Denials: How HealthRecon Connect Can Optimize Your Revenue Cycle
In the complex landscape of healthcare revenue cycle management, claim denials remain a significant and costly challenge. They disrupt cash flow, increase the administrative burden, and can ultimately impact a provider’s ability to deliver timely and high-quality care. Industry data indicates that denial rates typically range from 5% to 10%, with some organizations facing rates […]
AB 1041: California’s New Credentialing Rules Are Coming – Is Your Organization Ready?
California’s Assembly Bill 1041 (AB 1041) will soon transform provider credentialing requirements for health care service plans and insurers. Beginning January 1, 2026, health plans and insurers will be held to strict deadlines and new requirements. What’s Changing Under AB 1041, health care service plans and insurers must: Complete credentialing within 90 days – […]
Cigna’s New E/M Coding Policy Goes Live October 1 – Are You Ready?
Don’t wait until October. Now is the time to review your current E/M coding practices to ensure you’re prepared for Cigna’s changes. What You Need to Know Cigna’s R49 policy tightens reimbursement criteria for evaluation and management (E/M) services. While the changes officially take effect October 1, the impact could be felt immediately if […]
The Critical Role of Cybersecurity in Revenue Cycle Management
Safeguarding Financial Health in the Digital Healthcare Era In today’s digital-first healthcare landscape, healthcare organizations are more than just care providers. They are custodians of sensitive patient data. This information forms the backbone of two critical operations: Revenue Cycle Management (RCM) and Cybersecurity. These domains are deeply interconnected, and their synergy is essential for ensuring […]
Are Prior Authorizations Slowing Wound Care? Here’s What You Can Do About It
In wound care, timing is everything. Delayed treatment not only affects healing outcomes but directly impacts provider revenue. Yet in 2025, one of the biggest disruptors to timely wound management remains prior authorizations (PAs). While insurers argue that PAs encourage cost-effective care, the reality for providers is far more complex. Clinics and wound care centers […]
HealthRecon Connect and NSBM Green University Forge Strategic Partnership to Empower Future Talent
Colombo, Sri Lanka – HealthRecon Connect (Pvt) Ltd, a leading provider of technology-enabled Revenue Cycle Management (RCM) solutions, has officially entered into a strategic partnership with NSBM Green University through the signing of a Memorandum of Understanding on July 23, 2025. The MoU was signed by Mr. Dilupa Hapuarachchi, Vice President – HR Operations at […]
Mid-Year 2025 Lab Revenue Health Check: Overcoming Denials and Billing Gaps
As 2025 reaches its halfway mark, clinical and pathology labs across the country are asking a critical question: Are we hitting our revenue targets or falling behind? With rising payer complexity, shrinking reimbursements, and evolving compliance demands, many labs are realizing that the billing processes that worked in the past aren’t working anymore. Without course […]
What Is the WISeR Model? CMS’s New Medicare Strategy to Reduce Waste and Improve Oversight
The Centers for Medicare & Medicaid Services (CMS) has launched a new initiative: the Wasteful and Inappropriate Service Reduction (WISeR) Model, to reduce unnecessary spending in Original Medicare. Instead of altering existing coverage or payment rules, the WISeR Model targets low-value services by enhancing the prior authorization (PA) process. Why Does This Matter? According […]
HealthRecon Connect Achieves ISO 22301:2019 Certification for Business Continuity Management
HealthRecon Connect is proud to announce that it has been awarded the ISO 22301:2019 certification, an internationally recognized standard for Business Continuity Management Systems (BCMS). This achievement reinforces the company’s commitment to operational resilience, risk management, and ensuring uninterrupted service delivery to clients. This certification applies to the provision of Revenue Cycle Management Services, including […]