Healthcare
When it comes to out-of-state Medicaid, waiting until issues arise is not an option. A proactive accounts receivable (A/R) strategy is essential for protecting revenue and minimizing denials in an environment where rules, payers, and timelines vary by state. At ElevatePFS, proactive A/R management starts with understanding filing deadlines across states and implementing a streamlined…
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ElevatePFS Leadership Insights: Smarter Medicaid Billing Through Eligibility Checks, Deadline Management, and Stakeholder Alignment
Managing out-of-state Medicaid billing is one of the most challenging areas in the revenue cycle—marked by complex payer rules, tight enrollment deadlines, and inconsistent requirements across states. Without a clear process and specialized knowledge, providers risk delayed payments, denials, and significant write-offs. Elevate Patient Financial Solutions addresses this challenge head-on with a proactive, organized approach…
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ElevatePFS Leadership Insights: Reducing Risk and Securing Reimbursement in Out-of-State Medicaid Billing
Navigating out-of-state Medicaid billing and enrollment is a complex process that demands precision, coordination, and up-to-date knowledge of payer-specific requirements. Each state operates differently—with its own enrollment deadlines, billing expectations, and electronic submission rules—making it vital for providers to have a well-defined strategy in place. At ElevatePFS, success starts with early identification. Determining whether…
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ElevatePFS Leadership Insights: Best Practices for Smarter Billing in Out-of-State Medicaid Enrollment
Navigating out-of-state Medicaid enrollment and billing is one of the most demanding aspects of the revenue cycle. Each state has its own rules, payer requirements, and timelines—making it easy for claims to be delayed, denied, or written off entirely without a clear strategy in place. To avoid these costly pitfalls, healthcare organizations need a targeted,…
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ElevatePFS Revenue Cycle Insights: Simplifying Out-of-State Medicaid Billing
Out-of-state Medicaid billing and enrollment is one of the most complex areas in the revenue cycle. With over 450 Medicaid payer profiles—each with its own rules, enrollment requirements, and deadlines—providers often face delays, denials, or complete write-offs. The constantly changing policies and varying state-specific requirements create a fragmented system that’s difficult to manage without dedicated…
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Driving Excellence from Day One: Implementations Training & Quality Assurance at ElevatePFS
At ElevatePFS, quality isn’t a final checkpoint—it’s built into every stage of the process. Through focused Implementations Training and Quality Assurance (QA), the company ensures that new projects begin with consistency, compliance, and confidence. The QA process is designed to evaluate performance, reinforce standards, and identify opportunities for improvement. By combining data analysis with…
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The Rise of Personalized Nutraceuticals: Vitaquest Taps Big Data, Flavor, and AI to Deliver Personalized Wellness at Scale
The wellness industry is at an inflection point. What once centered around pill packs and generic supplement regimens is now being transformed by an ecosystem of personalization, flavor innovation, and data-driven development. According to research, the global nutraceuticals market is on track to surpass $919 billion by 2030—and with consumer demand increasingly favoring tailored,…
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Latest Articles
ElevatePFS Leadership Insights: Smarter Medicaid Billing Through Eligibility Checks, Deadline Management, and Stakeholder Alignment
Managing out-of-state Medicaid billing is one of the most challenging areas in the revenue cycle—marked by complex payer rules, tight enrollment deadlines, and inconsistent requirements across states. Without a clear process and specialized knowledge, providers risk delayed payments, denials, and significant write-offs. Elevate Patient Financial Solutions addresses this challenge head-on with a proactive, organized approach…
ElevatePFS Leadership Insights: Reducing Risk and Securing Reimbursement in Out-of-State Medicaid Billing
Navigating out-of-state Medicaid billing and enrollment is a complex process that demands precision, coordination, and up-to-date knowledge of payer-specific requirements. Each state operates differently—with its own enrollment deadlines, billing expectations, and electronic submission rules—making it vital for providers to have a well-defined strategy in place. At ElevatePFS, success starts with early identification. Determining whether…
ElevatePFS Leadership Insights: Best Practices for Smarter Billing in Out-of-State Medicaid Enrollment
Navigating out-of-state Medicaid enrollment and billing is one of the most demanding aspects of the revenue cycle. Each state has its own rules, payer requirements, and timelines—making it easy for claims to be delayed, denied, or written off entirely without a clear strategy in place. To avoid these costly pitfalls, healthcare organizations need a targeted,…
Driving Excellence from Day One: Implementations Training & Quality Assurance at ElevatePFS
At ElevatePFS, quality isn’t a final checkpoint—it’s built into every stage of the process. Through focused Implementations Training and Quality Assurance (QA), the company ensures that new projects begin with consistency, compliance, and confidence. The QA process is designed to evaluate performance, reinforce standards, and identify opportunities for improvement. By combining data analysis with…
The Rise of Personalized Nutraceuticals: Vitaquest Taps Big Data, Flavor, and AI to Deliver Personalized Wellness at Scale
The wellness industry is at an inflection point. What once centered around pill packs and generic supplement regimens is now being transformed by an ecosystem of personalization, flavor innovation, and data-driven development. According to research, the global nutraceuticals market is on track to surpass $919 billion by 2030—and with consumer demand increasingly favoring tailored,…
2025’s Hottest Healthcare Trends with David Willis, Principal with ECG
Healthcare organizations have faced significant challenges over the last five years due to the lasting financial and operational impacts of the COVID-19 pandemic, widespread labor shortages, and rising costs of care delivery. The pandemic forced hospitals to prioritize crisis response over long-term strategy, leading to deferred investments, workforce burnout, and financial strain. Now, with many…
Solving America’s Physician Shortage Through Apprenticeship Programs, Online Training & Hands-On Experience
In a healthcare landscape reshaped by post-pandemic challenges, workforce shortages and burnout are stretching the system to its limits. According to the Association of American Medical Colleges, the U.S. is projected to face a shortage of up to 86,000 physicians by 2036, while turnover rates among nurses and allied health professionals continue to climb….
AI-Powered Remote Cardiac Monitoring Improves Care Access, Disease Detection, and Diagnostic Accuracy
Advancements in artificial intelligence are transforming healthcare, and remote cardiac monitoring is at the forefront of this change. With cardiovascular disease impacting nearly 50% of the population at some point in their lives, early detection and efficient diagnosis are crucial. Enter AI-powered cardiac monitors that provide near real-time data, reduce diagnostic errors, and improve…
HFMA’s Historic New Leaders: The Trailblazing Women Who Are Leading Healthcare Finance
For the first time in history, Texas is home to three female presidents leading Healthcare Financial Management Association (HFMA) chapters, alongside the organization’s first female CEO, Ann Jordan. This unprecedented moment is more than symbolic; it highlights a shift toward inclusivity, collaboration, and innovation in healthcare financial management. With Texas chapters spanning diverse regions…
Latest Podcasts
Sterile Compounding and Contamination Control with Abby Roth
In this episode of Exceeding Your Benchmark, host Michelle Dawn Mooney speaks with Abby Roth, founder of Pure Microbiology, about sterile compounding and contamination control. Abby shares her expertise in microbiology, sterile environments, and best practices in pharmaceutical compounding. The conversation begins with a distinction between traditional drug manufacturing and sterile compounding, highlighting the…
Interview with Robin Goldsmith
At ViVE 2025, Panda Health’s Jason Taylor and Verizon Healthcare’s Robin Goldsmith dive into the future of AI in healthcare, exploring how ambient technology is revolutionizing workflows for clinicians and improving patient experiences. A dynamic conversation not to be missed!
Private Equity and Venture Capital Are Transforming Healthcare – But at What Cost?
Private equity and venture capital have been reshaping the healthcare landscape, with $47 billion in related deals recorded from 2019 to 2023. These investments promise innovation and growth in AI, diagnostics, and healthcare delivery. However, they also raise critical questions about aligning profit-driven goals with the mission to improve patient care and system efficiency….
AI and Advocacy Unite: Tackling Women’s Health Disparities with Hologic Mia Keeys
Women’s health remains a critical issue globally, with alarming disparities in access and outcomes. A new survey from Hologic and Gallup reveals that while nearly 90% of women recognize the importance of health screenings, less than half undergo them consistently due to barriers like cost, time, and anxiety. The stakes are particularly high in…
Overcoming Behavioral Health Challenges: Iris Telehealth’s Technology-Driven Approach
Behavioral health challenges have intensified nationwide, with wait times for care stretching months and access in rural areas remaining inadequate. Telehealth innovations are emerging as a crucial bridge to close these gaps, particularly in behavioral health. The stakes are high and according to the 2023 National Survey on Drug Use and Health (NSDUH), 22.8%…
Market-Based Planning, Specialization and Technology To Shape Healthcare Provider Networks for Tomorrow
The evolving healthcare landscape demands that provider networks strike a careful balance between meeting community needs and maintaining financial sustainability. As patient demographics shift and technological advancements, such as telehealth, redefine care delivery, health systems must recalibrate their networks to avoid inefficiencies. A 2024 AAMC study highlights this urgency, projecting a shortage of up…
Erin Osbourne at CHIME Fall Forum
Erin Osbourn, CIO at the Child Mind Institute, shares her experiences at the Chime Fall Forum and highlights the importance of building a culture of inclusion, belonging, and work-life harmony within her team. She discusses her leadership approach of fostering vulnerability, empathy, and balance, while emphasizing the critical need to destigmatize mental health, especially in…
Jesse Folds at CHIME Fall Forum
Jesse Folds, Director of IT Operations and Cybersecurity at Opelousas General, discusses the growing focus on zero trust policies, cybersecurity, and the challenges of understaffed IT departments in healthcare. He highlights the importance of vendor partnerships that understand budget cycles and emphasizes shifting ROI metrics toward improving patient satisfaction and equipping nurses with tools to…
Ryan Thousand at CHIME Fall Forum
Ryan Thousand, CIO of Dahl Memorial Healthcare in rural Montana, discusses the unique challenges and opportunities of leading a critical access hospital in a small community. From leveraging AI and strategic partnerships to enhance patient care and operational efficiency, to his decision to join the Panda Health family for its vendor-agnostic, community-driven approach, Ryan shares…
Latest Videos
Convenient Online Hearing Test from HearUSA Enhances Your Hearing Health Journey
Struggling to hear conversations could be more prevalent than you think. As a leader in hearing care, HearUSA offers an easy solution that you can manage from the comfort of your home: the HearUSA Online Hearing Test. Experience the Simplicity This quick, free, and convenient online test is designed to examine your hearing in…
Career Journeys: Impact Through Entrepreneurism
On this special Career Journeys episode of Care Anywhere: The Global Health Workforce Podcast, host Lea Sims sits down with Shailadi Gupta, CEO and Founder of Kindshell Healthcare. A nurse and holistic wellness coach, Shailadi shares her inspiring journey from India to Canada and how her experiences shaped her mission to support other Indian…
English Proficiency: Opening Doors to International Health Careers
In this special episode of Care Anywhere: The Global Health Workforce Podcast, host Lea Sims, Chief Marketing Officer and Host at CGFNS International, dives deep into the critical role of English language proficiency in global healthcare workforce mobility. Joined by guest Spiros Papageorgiou, Principal Measurement Scientist at ETS, the discussion unpacks how language proficiency benchmarks…
How Do You Meet Strict Healthcare Protocols Under Tight Deadlines?
Healthcare facilities present a unique challenge in the restoration and disaster recovery process. Unlike other sectors, healthcare must remain operational around the clock to provide essential services to patients. Abel Mendoza, a seasoned project manager at BMS CAT, highlights the meticulous approach required to handle such critical environments effectively. “Our crews undergo additional training…
The Journey to a Global Standard
In a groundbreaking move, CGFNS International has launched the first-ever global specialty credential for rehabilitation nurses, the Certified Global Nurse Rehabilitation (CGNR) exam. This credential marks a pivotal step toward addressing the critical need for globally standardized competencies in rehabilitation care. The development of this certification was a multi-year effort, uniting rehabilitation specialists from diverse…
Health Career Journeys: Olivia Li
On this special bonus episode of Care Anywhere: The Global Health Workforce Podcast, host Lea Sims, Chief Marketing Officer & Host at CGFNS International, Inc., sits down with Dr. Olivia Wei Li, RN, MSN, EdD, an International Nursing Educator and Consultant whose remarkable career spans continents and decades. With over 27 years of experience, Dr….
Paying it Forward: Empowering Career Migration Journeys
On the latest episode of Care Anywhere: The Global Health Workforce Podcast, host Lea Sims sits down with Sinead Carbery, President of International Staffing Solutions, and Gillian Williams, MSN, BS, RN, Senior Director of Clinical Operations, both from AMN Healthcare. The episode delves into the complexities of global career mobility for healthcare professionals, with…
Fighting for Fair Healthcare Access Means Overcoming Certain Challenges
With healthcare costs continuing to climb, and the access to quality care remaining uneven, discussions on healthcare reform are quite an essential topic. Millions of Americans face high out-of-pocket costs and limited access to critical health services. According to a 2022 Gallup poll, nearly 40 percent of Americans have delayed medical care due to…
ICN: Investing in the Future of the Global Nurse Workforce
In the latest episode of Care Anywhere, host Lea Sims sits down with Howard Catton, CEO of the International Council of Nurses (ICN), to discuss the state of the global nursing workforce. As a respected figure in global nursing, Howard shares insights from ICN’s recent findings, addressing a projected global shortage of 13 million…