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Claims Processing

Oct 22, 2014 | Carl Natale
The offical transition to the ICD-10 coding set takes place next October (or so we hope). Many providers have already spent a good deal of money preparing for the…
Oct 15, 2014 | Anthony Brino
Some health systems see value in becoming part of branded health plan networks for limited provider plans, as other providers…
Oct 01, 2014 | Healthcare Finance Staff
The traditional health insurance business model is on the verge of a cataclysmic shift toward individual consumers. While that will…
Sep 02, 2014 | Kurt Ullman
With an annual rate of 11,000 fatalities from falls in U.S. hospitals, falls are a persistent concern for healthcare facilities. They raise issues of…
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…

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