Gigasheet’s Post

In long-term care, cash flow isn’t just a financial number—it’s stability, staffing, and the ability to deliver excellent care. Yet many facilities are still battling slow Medicaid approvals, incomplete applications, and bottlenecks that drive up Accounts Receivable and strain daily operations. At IHCA Enrollment Support, we help facilities dramatically improve efficiency and reduce AR by streamlining the Medicaid application and reimbursement process. Our team combines intuitive technology with hands-on support to: ✅ Accelerate complete application submissions ✅ Reduce errors and missing documentation ✅ Shorten approval timelines ✅ Improve payment predictability and revenue cycle performance The result? Faster reimbursement, fewer surprises, and more time for your staff to focus on resident care—not paperwork. If your AR is climbing or your team is stretched thin, let’s talk. We’re here to help you simplify the process and strengthen your financial performance.

Most healthcare orgs are trying their best and still don't know where their money is. 😵💫 Sounds ridiculous. It's true. With 64 days left in 2025, it's the perfect time for a financial tune up before the end of the year, and to start 2026 out right. No money, no mission. 🤝 Common discoveries when we look systematically: 🔹 Outdated pricing leaving 6-7 figures on table annually 🔹 10-30% of claims sitting unworked 60+ days ("ghost claims") 🔹 Payment completeness at 40-50% (they thought it was "pretty good") 🔹 Revenue reconciliation showing 5-6 figure under or missing payment for common CPTs 🔹 Money earned but never collected (aging out) Three core analytics we run: 1️⃣ Pricing Intelligence: Are your fee schedules outdated? (Spoiler: they almost certainly are.) Typical impact: 6 to 7 figure annual increases 2️⃣ Revenue Reconciliation: Which CPTs and contracts aren't paying as expected? Typical impact: 5 to 7 figure annual recoveries 3️⃣ Ghost Claims Recovery: What's sitting unworked in your system? Typical impact: 5 to 6 figure immediate recovery You can't collect money you can't see. 😵 First step in Revenue Fundamentals: Show you where money is. 💰 When's the last time you looked at these three systematically? 👀 #HealthcareFinance #RevenueManagement #HealthcareOperations

Every state has its own fee schedule that outlines the maximum reimbursement rates for medical procedures and services. Staying informed can make a major impact on your revenue cycle. Here’s why it matters 👇 ✅ Prevents underbilling or overbilling – Knowing exact allowable rates ensures proper claim submission. ✅ Reduces denials – Aligning charges with state guidelines helps avoid payment discrepancies. ✅ Improves revenue accuracy – Helps practices forecast reimbursements and identify short payments. ✅ Supports compliance – Keeps your billing process aligned with payer and regulatory requirements. 📈 Staying current with your state’s fee schedule means fewer surprises and stronger financial performance for your practice!

Unapplied payments may seem harmless, but they represent revenue your practice has already earned but not yet recognized. Every delay in reconciling these payments means money is tied up and unavailable for your bottom line. Many busy practices deal with: - Missed revenue opportunities due to payments left in suspense accounts. - Difficulty reconciling deposits to actual patient accounts, leading to confusion and extra admin time. - Delays in accurate reporting, making it tougher to spot trends and make informed decisions. These issues stack up over time and directly impact cash flow. If you’re spending too much time tracking down payments instead of focusing on patient care, it’s time to rethink your process. A clear, proactive approach to payment reconciliation keeps revenue moving in the right direction. Don’t let unapplied payments be the silent drain on your practice’s financial health. Learn how ClaroClaim can help you recover revenue you’ve already earned.

Big policy changes are coming. Is your hospital ready? The One Big Beautiful Bill will reshape how hospitals are reimbursed, making financial readiness more important than ever. It starts with the basics: accurate registration, strong charge capture, and clear visibility into your revenue cycle. Hospitals that use data to anticipate change—rather than react to it—will be the ones that stay financially strong. Read more about how to prepare: https://lnkd.in/ePwWWW7m

Zero balance audits can absolutely impact hospital revenue — but only if you understand why the variances exist, including the financial impact of payer policies. Too often, the financial implications of payer policies aren’t fully understood. And today, those policies are having a serious effect on reimbursements. We’re also seeing payers struggle to keep up with changes in their own internal systems, creating discrepancies that hospitals can’t detect without the right visibility. These need to be identified and challenged — not just accepted. That’s why a zero balance audit can’t just be about finding dollars. It has to be about understanding the interplay between payer policies, system logic, and contract language. Only a partner with both AI-driven technology and deep contractual expertise can deliver that level of insight — and truly move the revenue needle. Contact us to learn more…

The 2026 Star Ratings reveal a stabilizing yet challenging landscape for Medicare Advantage plans. While 40% of contracts maintained four stars or above—the threshold for quality bonus payments—the data shows meaningful shifts in cut points and performance dynamics that plans must understand to remain successful. Cotiviti's Marge Ciancetta offers practical guidance on modeling program changes, prioritizing digital data collection, and using return-on-investment analysis to focus resources effectively. Watch and subscribe to our YouTube channel for more insights: ▶️ https://lnkd.in/gurzNvuV

You’ve mastered patient care — but are you missing the tax strategy that could save your practice thousands? Cost Segregation studies help doctors and healthcare owners unlock cash from their real estate by accelerating depreciation. It’s one of the smartest — and most overlooked — tax breaks for medical professionals. https://zurl.co/iGVaM #HealthcareFinance #PhysicianWealth #ArkadBusinessSolutions #TaxCredits #CostSegregation #MedicalPractice

As we close out the year 2025, it’s time for every medical practice to take a closer look at the numbers that truly tell the story of their business. Your revenue cycle doesn’t just impact cash flow — it directly affects your tax season readiness. Before January arrives, every practice should know: ✅ Total revenue collected vs. what’s still outstanding ✅ Unpaid or denied claims that could still be recovered ✅ Write-offs and losses — and whether they’re justified ✅ Opportunities for process improvement in billing and collections Too often, practices enter tax season without a clear picture of their true financial standing. That’s where strategic medical billing and revenue cycle management come in — helping you identify missed revenue, validate recoveries, and prepare accurate financial reports. Start 2026 on solid ground. Review, reconcile, and realign your billing processes now to ensure every dollar earned is accounted for. If your practice needs help closing out the year strong or analyzing where revenue is being lost, I’d be happy to connect and share insights.

Mastering reimbursement strategies is critical for today's organizations aiming for financial stability and growth. Discover innovative approaches to optimize payments and improve cash flow in our latest post. Dive in to explore the future of financial success in the ever-evolving landscape of healthcare and business.