AHIMA August 2, 2021
Jennifer Foskett, MBA, RHIA, CPC

Payers and providers often seem to be in a battle to prove who the bigger advocate is. It is important we work to bridge the gap between providers and payers to ensure that the care of patients is put first.

As Mackenzie Bean writes in an article from Becker’s Hospital Review, “Collaboration is the key to ensuring a successful payer-provider relationship. However, effective collaboration requires mutual understanding between both parties.”

Revenue cycle professionals in health information (HI) are the advocates for providers, so it is typical for staff involved in the revenue cycle to be defensive when there is discussion about payer behavior. However, much of this defensiveness is due to a lack of education on insurance company policies regarding...

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