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Claims Processing

Aug 29, 2014 | Bernie Monegain
A Mississippi health system and three hospitals in Texas, Indiana and Alabama are illustrating how hospitals can thrive in a tough economic…
Jul 23, 2014 | Tammy Worth
With patients paying more out-of-pocket costs and exchanges increasing the number of plans providers deal with, having financial counselors in a…
Jul 21, 2014 | Susan Jaffe
Medicare announced Friday that it was revising rules intended to prevent the agency from paying twice for the same prescriptions for seniors receiving…
Jul 08, 2014 | Stephanie Bouchard
If your modus operandi is to appeal all denied claims, you may want to reconsider because some claims are not worth it.
Jun 12, 2014 | Richard Pizzi
Of the states that built their own health insurance exchanges that are now operational, Washington, Kentucky and Minnesota…
Jun 04, 2014 | Anthony Brino
The American Hospital Association is asking federal Medicare leaders to stem the practice of using sample hospital audit data to extrapolate…
May 28, 2014 | Anthony Brino
A group of chiropractors went to war with the Blues and it seems they've won, successfully using a novel…
May 28, 2014 | Bernie Monegain
For the second year in a row, Humana ranked first in overall performance among 148 payers, according to the 2014 PayerView…
Medicare claims auditors
May 27, 2014 | Anthony Brino
The federal government and a number of hospitals may want to transition to a new Medicare reimbursement model. But there are…
May 21, 2014 | Anthony Brino
A new interpretation of a 40-year-old law could offer healthcare providers more options for appealing payer recoupments or preventing them altogether.

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