California fines Health Net $40M for inaccurate provider directories. How Quickcoms can help.

Your Bottom Line Deserves a Check-Up Too 💰🩺 We remind our patients to get regular check-ups, not because they’re unwell, but because prevention keeps them strong. 💪 The same logic applies to your practice. Too often, clinics wait until there’s a crisis, cash flow dips, bills pile up, reimbursements shrink, before taking a closer look. But by then, the problem is already systemic. ⚠️ Financial health, just like clinical health, depends on early detection. 👀 A “financial check-up” isn’t about spreadsheets or accounting, it’s about awareness. It’s asking: 💡 Where is revenue slipping through the cracks? 💡 Are we spending in alignment with our mission? 💡 Do our contracts and systems still serve us or just persist out of habit? When you start looking at your bottom line with the same care you give your patients, patterns emerge. ✨ You notice the unbilled services that add up over time. ✨ The outdated contracts quietly draining profit. ✨ The recurring expenses that no longer make sense. Healthy practices don’t just earn more, they retain more. 💵 Because every dollar protected is another dollar reinvested into people, tools, and systems that elevate care. 🏥💡 Financial stability isn’t just an operational goal, it’s what allows you to keep showing up for patients with clarity, capacity, and confidence. 🌱 Your practice’s financial health deserves the same attention as every patient you serve. Because care begins with stability. ❤️ #HealthcareLeadership #PracticeManagement #FinancialHealth #OperationalExcellence #SustainableGrowth #ClinikaPerspective

When “We’ll Clean It Up Later” Becomes a Headline Ever notice how every payer says their provider directories are “accurate and up to date”? Until regulators check? Here’s the thing — the gap between what’s promised and what’s real is where trust dies. Inaccurate directories don’t just cause member frustration. They break the credibility your brand relies on. Members stop believing your “Find a Doctor” tool. Brokers stop recommending your plans. CMS stops being patient. Quickcoms helps plans bridge that gap — automating updates, validating data sources, and creating a single source of truth that your teams (and regulators) can actually trust. It’s not about avoiding fines. It’s about earning trust at scale — every member, every listing, every update. Because nothing kills member loyalty faster than “Sorry, that doctor’s not in your network anymore.”

Ever wonder how much money health systems actually lose to hidden contract errors? In Q3 alone, QuicksortRx customers uncovered $8.29 million in savings from contract fixes, accounting for over a quarter of total savings in three months. These aren’t one-off issues. They’re systemic mismatches hidden in your data that can add up fast. During Q3, QuicksortRx helped: - 75% of customers identify at least one contract pricing error - 15% of customers uncover 10 or more contract fixes - Multiple health systems recover more than $250,000 from single pricing issues 💡 Read the full story and explore examples of real Q3 fixes here: https://lnkd.in/gxPTvTRc

Every inaccurate record has a story that began somewhere in the lifecycle. When provider data goes wrong, it’s easy to blame the system or the spreadsheet. But the real story usually starts much earlier in a broken process, a missing handoff, or a lifecycle that isn’t fully connected. That’s why I always look at provider data through a lifecycle lens, not as a one-time cleanup, but as a continuous flow across five stages: 1️⃣ Recruit & Credential – Validate right-fit providers once, not repeatedly. 2️⃣ Contract & Configure – Capture rates and configure the terms at the source. 3️⃣ Enroll & Activate – Seamlessly connect contracting and operations. 4️⃣ Maintain & Update – Make data living, not static, through proactive outreach. 5️⃣ Terminate & Archive – Close the loop properly to prevent residual errors. Every inaccurate record traces back to one of these stages, and fixing it requires addressing how the story started, not just where it ended. When each stage works in isolation, the system breaks down. When they work together, you get better provider experiences, fewer claims issues, and cleaner analytics. Where do you see most provider data “stories” begin in your organization: onboarding, contracting, or updates? #ProviderData #HealthcareOperations #HealthPlanTransformation #DataIntegrity #ProcessImprovement #ProviderExperience #HealthcareConsulting #OperationalExcellence

💸 Is your practice’s financial health at risk—and you don’t even know it? Most practice leaders aren't confident they’re receiving every dollar they’re owed from payers. Meanwhile, denial rates are too high and underpayments often go unnoticed. Billing staff are doing their best—but disconnected systems and manual processes make it nearly impossible to catch every error or identify revenue leaks in time. Financial health starts with giving billing teams the tools to see what’s happening, understand why, and take action. Learn more about the most common billing challenges practices face—and how modern technology can help teams protect every earned dollar. 🔗https://hubs.li/Q03SkDq-0 #PracticeFinancialHealth #ActionableRevenueTransparency #EncodaInsights #RevenueCycleTech

Accurate provider data isn’t just a nice-to-have, it’s a compliance requirement. Health plans must routinely validate provider information to ensure directories are current, correct, and complete. 📌 From CMS regulations to member satisfaction, provider data validation plays a critical role in network integrity. 🔍 Explore the full breakdown:https://okt.to/SUyDBk #QuestForSuccess #accurate #ProviderData

Every vendor chasing a better solution for provider directory accuracy seems to start with the same playbook: build tools to help plans talk to providers. But year after year, the same thing happens: it's abrasive, inefficient, and despite well-intentioned efforts (and some solid tech), the results still frustrate everyone involved. Even worse, directories are still fraught with errors, beneficiaries struggle to find doctors to care for them, and now #CMS has even stepped in to combat Ghost Networks in #MA. Case in point: last week’s MPF mess was yet another reminder that plan-provider data exchanges alone aren’t fixing the problem. So here’s my question:why hasn’t anyone built a beneficiary- or patient-facing crowdsourcing layer to help with this? Essentially a “Waze for provider directories”? Consumers already tell us when traffic, road hazards, and construction zones are imperfect. Why not let #Medicare beneficiaries or #MedicareAdvantage plan members flag inaccurate practice addresses, phone numbers, or “accepting new patients” statuses in real time? Maybe the answer to fixing  Access to Care alongside Provider Directories isn’t another B2B handshake with providers, rather it’s empowering the people who actually use it? If anyone out there is working on, or knows of, live or developing patient-facing crowdsourcing tools to improve directory accuracy, I’d love to hear about them. Feels like that would be one heckuva high-ROI #CAHPS play for #StarRatings!

According to a 2025 survey by LexisNexis® Risk Solutions, 33% of provider directory users have encountered outdated or incorrect information. To gain trust and foster engagement, organizations must ensure directories are updated, correct and easy to use. LexisNexis® Provider Data MasterFile™ and LexisNexis® ProviderPoint® can help ensure directory accuracy with a powerful referential database of providers and healthcare facilities. Download the infographic,https://splr.io/6049shfmP, to learn how these tools can help improve provider directory accuracy and increase patient and member engagement.