Sean Barrett’s Post

Every delay in prior authorization is a delay in patient care. In our new blog, we break down how healthcare organizations can streamline approvals, prevent revenue loss, and ensure patients get timely treatment. #HealthcareProviders #RevenueCycleManagement #PriorAuthorization Read here:

What Do Patients Really Want? It’s not just about better pillows. Today’s patients crave comfort, connection, and control. Explore the top 3 ways to deliver value that truly matters to your patients. Become an expert on what patients want: https://hubs.ly/Q03GrB1K0 #PatientExperience #HospitalInnovation #HealthcareDesign #PDiDifference

With a long history of serving customers in both healthcare and insurance, we’re taking aim at claims processing to advance value-based care. By delivering AI-infused solutions that streamline transactions between payers and providers, we can tackle long-standing challenges plaguing the healthcare industry. https://lnkd.in/ebF4vFKr

🚨 Countdown to October 1 🚨 We’re just 14 days away from Cigna Healthcare’s R49 policy taking effect. That means: ❌ Automatic downcoding of 99204–99205, 99214–99215, 99244–99245. ❌ Thousands in lost reimbursement each month. ❌ Providers caught unprepared with no plan. That’s why I built the Revenue Reset™ October 1st Compliance Checklists. These guides walk your team step by step through what needs to be done before October 1, so you don’t get blindsided. 📋 Lite Edition ($57 Launch, Reg. $97): The essentials only — quick prep for small practices. 📋 Extended Edition ($77 Launch, Reg. $127): Detailed prep with advanced steps and documentation guidance. 📋 Bundle ($97 Launch, Reg. $157): Both versions together for complete coverage. ⚡ Instantly downloadable (PDF) ⚡ Print for staff or use digitally ⚡ Launch Week Special pricing in effect 👉 Download now and protect your practice before R49 hits: Lite: R49PrepChecklistLE Extended: R49PrepChecklistEE Bundle: R49PrepChecklistEBB Revenue Reset™ is independently created. Not affiliated with or endorsed by Cigna Healthcare. #RevenueCycleManagement #MedicalBilling #CignaR49 #HealthcareCompliance #PracticeManagement #RevenueReset #RevQuestLLC

𝐑𝐞𝐚𝐥-𝐰𝐨𝐫𝐥𝐝 𝐬𝐭𝐮𝐝𝐢𝐞𝐬 𝐚𝐫𝐞 𝐧𝐨 𝐥𝐨𝐧𝐠𝐞𝐫 𝐨𝐩𝐭𝐢𝐨𝐧𝐚𝐥, 𝐭𝐡𝐞𝐲’𝐫𝐞 𝐞𝐬𝐬𝐞𝐧𝐭𝐢𝐚𝐥 𝐭𝐨 𝐬𝐡𝐚𝐩𝐢𝐧𝐠 𝐩𝐚𝐭𝐢𝐞𝐧𝐭-𝐜𝐞𝐧𝐭𝐞𝐫𝐞𝐝 𝐡𝐞𝐚𝐥𝐭𝐡𝐜𝐚𝐫𝐞. Yet challenges remain: data quality, regulatory hurdles, and patient engagement. Our latest blog breaks down the key barriers in real-world evidence research and offers solutions that drive impact. 📖 Read here: http://bit.ly/45ZD8ZS #HealthcareResearch #RealWorldEvidence #PatientCare #MarketResearch

𝐑𝐞𝐚𝐥-𝐰𝐨𝐫𝐥𝐝 𝐬𝐭𝐮𝐝𝐢𝐞𝐬 𝐚𝐫𝐞 𝐧𝐨 𝐥𝐨𝐧𝐠𝐞𝐫 𝐨𝐩𝐭𝐢𝐨𝐧𝐚𝐥, 𝐭𝐡𝐞𝐲’𝐫𝐞 𝐞𝐬𝐬𝐞𝐧𝐭𝐢𝐚𝐥 𝐭𝐨 𝐬𝐡𝐚𝐩𝐢𝐧𝐠 𝐩𝐚𝐭𝐢𝐞𝐧𝐭-𝐜𝐞𝐧𝐭𝐞𝐫𝐞𝐝 𝐡𝐞𝐚𝐥𝐭𝐡𝐜𝐚𝐫𝐞. Yet challenges remain: data quality, regulatory hurdles, and patient engagement. Our latest blog breaks down the key barriers in real-world evidence research and offers solutions that drive impact. 📖 Read here: http://bit.ly/45ZD8ZS #HealthcareResearch #RealWorldEvidence #PatientCare #MarketResearch

“Nearly every healthcare stakeholder — payers, hospitals, clinics and data companies — is involved in or affected by provider data accuracy. Despite widespread efforts, the issue persists largely due to human error and a lack of streamlined efforts centered on accurate data entry.” #masterdatamanagement #mdm #providercredentialing https://lnkd.in/eVEvXPE9

Most physician practices sit on a goldmine of untapped potential: healthcare price transparency data. Learn how smart practices are leveraging this powerful resource to strengthen payer negotiations and accelerate practice growth. https://lnkd.in/gYAFubVC

Readiness is no longer optional. It is the new standard for payers. Fines may appear as line items on a balance sheet, but their real cost is what they reveal: systemic cracks across payer operations, provider relationships, and member trust. In his latest byline for HealthIT Answers, Mohammed Vaid, Founder & CEO, Chief Solution Architect at Simplify Healthcare, explains why regulatory readiness must move from an end-of-cycle task to a daily operating discipline. Readiness comes to life through three structural practices: • Embedding compliance into core workflows • Automating repetitive checks for speed and scale • Validating data in real time before it reaches regulators, providers, or members The payoff is significant. Continuous readiness protects revenue, reduces disruption for providers, and delivers members the clarity they expect at every touchpoint. At Simplify Healthcare, our solutions—Benefits1™, Provider1™, Claims1™, and Xperience1™—equip payers to operationalize readiness, ensuring accuracy, reliability, and resilience in an era of heightened enforcement. Read the full article: https://lnkd.in/en3tk8Hd To see how we help payers operationalize prevention and request a demo, visit:https://lnkd.in/gTSiB2cR #SimplifyHealthcare #HealthcareInnovation #Compliance #Payers #DigitalHealth

With contract value eroding, denials spiking, and payers tightening the reins, the old negotiation tactics just won’t cut it anymore. Our latest piece lays out a bold, strategic roadmap to help health systems not just survive—but lead—in this new era of managed care. Great article by great colleagues Nick Herro and Steve Prosser, CHIE!