HealthRecon Connect

07/31/2025

With Q4 on the horizon, now is the time for clinical and pathology labs to evaluate the health of their revenue cycle. From rising claim denials and shifting payer policies to evolving CLIA regulations and growing cybersecurity threats, the pressure to optimize billing workflows has never been more urgent.

This in-depth article explores:

- How AI is reshaping revenue cycle management
- The impact of major cybersecurity incidents on billing continuity
- What the upcoming March 2026 CLIA updates mean for lab compliance
- Mid-year KPIs to track and why they matter most heading into year-end
- Real-world data and industry benchmarks to guide your interventions

Whether you're a lab director, billing manager, or RCM partner, this is your roadmap to staying compliant, resilient, and financially strong as we enter the final stretch of 2025.

Read the full article: https://www.healthreconconnect.com/lab-revenue-cycle-q4-strategy-2025/

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With Q4 approaching, clinical labs must address AI trends, CLIA 2026 changes, cybersecurity threats, and mid-year KPIs to protect revenue and maintain compliance. Prepare your strategy now.

07/30/2025

What if… your claims were cut in half and denials reduced by more than 70%?

Excessive denials and bloated claim volumes don’t just slow you down, they silently drain your revenue. Every preventable denial is a missed opportunity to get paid faster and more accurately.

At HealthRecon Connect, we specialize in reducing denials and optimizing claim workflows so your team can focus on what matters most: delivering care, not chasing payments.

With proven RCM strategies and expert support, we help turn revenue leaks into measurable gains. Let’s stop the drain and start the growth.

Stephen Williamson
Chief Growth Officer
(417) 848-5555
stephenw@healthreconconnect.com
Schedule a Call: healthreconconnect.com/schedule-a-call
Learn More: healthreconconnect.com

07/28/2025

💡 𝐑𝐂𝐌 𝐓𝐢𝐩 𝐌𝐨𝐧𝐝𝐚𝐲

Did you know that up to 60% of denied claims can be recovered with timely appeals and follow-ups?

Every missed follow-up is a missed opportunity for revenue. With a strong denial management strategy, providers can recoup significant dollars and improve overall financial performance.

At 𝐇𝐞𝐚𝐥𝐭𝐡𝐑𝐞𝐜𝐨𝐧 𝐂𝐨𝐧𝐧𝐞𝐜𝐭, we help healthcare organizations take control of denial management by streamlining appeals and follow-up processes:

• Higher claim recovery rates
• Reduced revenue leakage
• Smoother workflows
• Stronger cash flow

Let us help you turn denials into dollars with a smarter, faster revenue cycle.

07/25/2025

𝐌𝐘𝐓𝐇: RCM is too expensive for small practices.
Many smaller practices hesitate to outsource, believing it’s a luxury only large healthcare systems can afford.

𝐅𝐀𝐂𝐓: The right RCM partner can reduce overhead and increase collections, regardless of your practice size.

At 𝐇𝐞𝐚𝐥𝐭𝐡𝐑𝐞𝐜𝐨𝐧 𝐂𝐨𝐧𝐧𝐞𝐜𝐭, we design solutions tailored to your unique needs, helping you boost collections, lower administrative costs, and refocus your staff on what matters most: patient care.

Smarter RCM starts with the right partner.

07/24/2025

New CMS Model Targets Wasteful Services

CMS’s WISeR initiative introduces a technology-enabled, clinician-led approach to reviewing select Medicare services. While coverage and payments remain unchanged, the model aims to curb the use of low-value care.

Here’s our breakdown of the model’s goals and mechanics:
• What the WISeR Model means for providers
• How it balances efficiency, safety, and transparency
• Why it marks a major shift in value-based care

Read the full article: https://www.healthreconconnect.com/what-is-the-wiser-model-cmss-new-medicare-strategy-to-reduce-waste-and-improve-oversight/

Discover how CMS’s WISeR Model is transforming Medicare with smarter prior authorization, AI-supported reviews, and clinician oversight all without changing patient coverage. Learn about its goals, process, and impact on providers.

07/23/2025

𝐖𝐡𝐚𝐭 𝐢𝐟… 𝐲𝐨𝐮𝐫 𝐜𝐚𝐬𝐡 𝐟𝐥𝐨𝐰 𝐢𝐧𝐜𝐫𝐞𝐚𝐬𝐞𝐝, 𝐚𝐧𝐝 𝐝𝐞𝐥𝐚𝐲𝐬 𝐝𝐢𝐬𝐚𝐩𝐩𝐞𝐚𝐫𝐞𝐝?

Slow collections and delayed reimbursements may be silently draining your practice’s financial health. Every stalled payment limits your growth and stability.

At 𝐇𝐞𝐚𝐥𝐭𝐡𝐑𝐞𝐜𝐨𝐧 𝐂𝐨𝐧𝐧𝐞𝐜𝐭, our RCM experts eliminate payment delays and accelerate your cash flow with streamlined billing processes, real-time analytics, and proactive follow-ups.

Let’s transform your revenue cycle and get your payments flowing starting today.

Stephen Williamson
Chief Growth Officer
(417) 848-5555
stephenw@healthreconconnect.com
Schedule a Call: https://healthreconconnect.com/schedule-a-call
Learn more: https://healthreconconnect.com

07/21/2025

RCM Tip Monday

Did you know that over 70% of claim denials can be avoided by verifying insurance coverage before the appointment?

Real-time eligibility checks are one of the most effective ways to reduce rework, prevent denials, and ensure cleaner claims from the start.

At HealthRecon Connect, we help providers strengthen their front-end processes through real-time verification and payer checks, delivering results that matter:

• Fewer denials
• Faster collections
• Higher clean claim rates
• Better patient experience

Let us streamline your revenue cycle so you can focus on delivering care, not fixing claim errors.

07/17/2025

𝐂𝐌𝐒 𝐔𝐧𝐯𝐞𝐢𝐥𝐬 𝐭𝐡𝐞 𝐖𝐈𝐒𝐞𝐑 𝐌𝐨𝐝𝐞𝐥: 𝐀𝐝𝐯𝐚𝐧𝐜𝐢𝐧𝐠 𝐒𝐦𝐚𝐫𝐭𝐞𝐫, 𝐒𝐚𝐟𝐞𝐫 𝐎𝐯𝐞𝐫𝐬𝐢𝐠𝐡𝐭 𝐢𝐧 𝐌𝐞𝐝𝐢𝐜𝐚𝐫𝐞

The Wasteful and Inappropriate Service Reduction (WISeR) Model is CMS’s latest step toward optimizing healthcare delivery in Original Medicare, without altering existing coverage or payment rules.

𝐊𝐞𝐲 𝐆𝐨𝐚𝐥𝐬:

• Focus spending on services that truly improve patient outcomes
• Introduce more efficient, tech-enabled review processes
• Increase transparency in Medicare coverage policies
• Reduce the use of medically unnecessary or low-value care

𝐇𝐨𝐰 𝐭𝐡𝐞 𝐖𝐈𝐒𝐞𝐑 𝐌𝐨𝐝𝐞𝐥 𝐖𝐨𝐫𝐤𝐬:

Participants will apply their technology in an assigned state to assess coverage determinations for a selected set of items and services.

The model excludes inpatient-only services, emergency services, and any service that would pose substantial risk to patients if delayed.

All recommendations for non-payment will be made by appropriately licensed clinicians, using standardized, transparent, and evidence-based procedures.

Health care coverage for people with Medicare will not change. Beneficiaries retain the freedom to seek care from any Original Medicare provider or supplier of their choice.

Payment to providers and suppliers for covered items and services will remain unchanged.
WISeR does not apply to Medicare Advantage beneficiaries and will have no impact on them.

The WISeR Model reflects a thoughtful balance between cost-efficiency, patient safety, and administrative fairness a promising step forward in modernizing value-based healthcare delivery.

📄 Source: https://www.cms.gov/newsroom/press-releases/cms-launches-new-model-target-wasteful-inappropriate-services-original-medicare

07/16/2025

𝐖𝐡𝐚𝐭 𝐢𝐟… 𝐛𝐞𝐭𝐭𝐞𝐫 𝐛𝐢𝐥𝐥𝐢𝐧𝐠 𝐮𝐧𝐥𝐨𝐜𝐤𝐞𝐝 𝐲𝐨𝐮𝐫 𝐡𝐢𝐝𝐝𝐞𝐧 𝐫𝐞𝐯𝐞𝐧𝐮𝐞?

Inaccurate coding and inefficient billing processes could be holding your revenue back. Every missed charge or delayed claim adds up.

At 𝐇𝐞𝐚𝐥𝐭𝐡𝐑𝐞𝐜𝐨𝐧 𝐂𝐨𝐧𝐧𝐞𝐜𝐭, our RCM experts help you uncover and recover missed revenue opportunities through smarter billing, cleaner claims, and optimized workflows.

With the right partner, your revenue potential isn’t just protected, it’s amplified. Let’s start optimizing your revenue today.

Stephen Williamson
Chief Growth Officer
(417) 848-5555
stephenw@healthreconconnect.com
Schedule a Call: healthreconconnect.com/schedule-a-call
Learn More: healthreconconnect.com

07/14/2025

💡 RCM Tip Monday

Did you know that claims submitted within 24 hours are 40% more likely to be paid on time?

Timely submission keeps your revenue cycle moving reducing the risk of delays, denials, and backlogs caused by missed deadlines.

Filing quickly isn’t just good practice, it’s a strategic advantage. The faster your claims reach payers, the better your chances of faster reimbursement and fewer follow-ups.

At HealthRecon Connect, we help healthcare organizations streamline claim submission processes to deliver measurable results:

• Faster reimbursements
• Reduced administrative burden
• Improved cash flow
• Higher clean claim rates

Let us help you optimize your revenue cycle, so you can focus on what matters most: delivering care with confidence.

07/07/2025

MYTH: Faster claim submissions result in more mistakes.
It’s a common belief that speeding up the claims process compromises accuracy, causing more denials and rework.

FACT: Smart claim scrubbing speeds up submissions and reduces errors.
The right RCM partner uses automation and rules-based engines to catch inaccuracies before claims are submitted, ensuring clean claims, faster reimbursements, and fewer denials.

At HealthRecon Connect, our end-to-end revenue cycle solutions combine speed with precision, so your revenue cycle runs stronger, smoother, and smarter.

Partner smart. Submit clean. Get paid faster.

07/04/2025

Wishing everyone a safe and joyous 4th of July!
May your day be filled with celebration, good company, and plenty of cheer.