Knowledge Center

Expert insights and strategic resources for the modern medical practice.

White Paper

Stopping the 15% Leak

15%

Revenue Recovered Through Accuracy

Clinical documentation improvement (CDI) is the bridge between patient care and provider reimbursement. Our guide explores how subtle errors in ICD-10 specificity lead to massive downstream losses.

Key Insights:

  • The Clearinghouse Trap: Identifying why 40% of denials occur before payer submission.
  • Specificity Scoring: Training providers on documentation that satisfies AI-driven audits.
  • Pre-Submission Scrubbing: Catching "silent" errors with our 3-tier validation.
Download Full Guide
Case Study

Practice ROI: Orthopedics

$420k

Recovered in 90 Days

A 12-provider orthopedic group was struggling with a 65-day A/R cycle and high denial rates. Eazify RCM implemented a custom surgical coding workflow to solve their bottleneck.

Project Outcomes:

  • Surgical Capture: Increased surgical reimbursement by 18% via modifier optimization.
  • A/R Reduction: Slashed days in A/R from 65 to 34 through aggressive follow-ups.
  • Provider Efficiency: Automated 90% of verification, saving 20 staff hours weekly.
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Regulation

2025 HIPAA Updates

2025

New Compliance Standards

The 2025 updates focus heavily on Data Portability and Reproductive Health Privacy. Non-compliance can lead to tier-3 penalties starting this fiscal year.

Compliance Requirements:

  • Reproductive Health Rule: Strict new limitations on disclosing specific PHI.
  • Patient Access Rights: New 48-hour window for digital record requests.
  • Staff Training: Mandatory recertification for all staff handling billing data.
Download Checklist
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