The process of medical claim submissions is strewed with numerous challenges. Some of the issues pertaining to the claim are quite difficult to resolve and become very time consuming and occasionally not worth the time and effort, In which case they are just dropped. This, of course, is not the way things ought to be. To tackle the tough challenges…
Transparency in the ASC billing process is crucial to ensure proper processing and reimbursement. ASC billing includes several complexities thus increasing probability of errors leading to delay in processing. The ASC billing process involves intricate data accuracy. A slight error can result in an incorrect billing and spiral a multitude of other issues. The billing begins with the doctor’s report.…
Is your revenue cycle management strategy giving you satisfactory returns? Most ASC’s lack the required skill and expertise for proper, accurate and transparent billing. Revenue Generation Service Companies provide the much needed expertise and manage the billing segment for the ASC. AllianceMed has a team of qualified and experienced staff to handle the various segments of ASC billing and coding.…
The medical field is not like it used to be. And neither is medical wear. A recent Medline University poll of 1,400 healthcare workers from hospitals, nursing homes and other patient care settings found that nearly 60 percent have some choice in the scrubs they wear to work. Respondents also stated the most important features of scrubs are comfort, fit,…
You’re likely familiar with the old saying, “An apple a day keeps the doctor away.” But did you know June is National Fruit & Vegetable Month? According to the USDA, Americans should consume about 1 ½ – 2 cups of fruits and 2 – 3 cups of vegetables per day. Fruits and vegetables contain many antioxidants and nutrient rich vitamins…
When I was raising my daughters, I often told them to reach for the stars. When they were little, it was just a way to get them to raise their hands so I could clean a highchair tray or wipe a face without sticky little fingers getting in the way. As they grew, it became a more metaphorical phrase, encouraging…
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Aetna is now facing another set of claims calling into question its determination and payment methodology for out-of-network reimbursement. On September 4, 2015, six surgical centers in Texas (Allied Center for Special Surgery) filed suit in Harris County District Court against Aetna Health Inc. and Aetna Life Insurance Company (Aetna), claiming that Aetna underpaid or denied payment of more than…
Studies show medical bills are the biggest cause of bankruptcies in the United States and health insurance doesn’t always have you covered. Insurance companies and hospitals make it confusing to know how much you’ll owe, so Consumer Reports is offering a program on how to avoid surprise medical bills. Eric Christensen had shoulder surgery this year and he thought everything…
In UnitedHealthcare Servs., Inc. v Asprinio (2015 NY Slip Op 25298), decided on August 31, 2015, in the Supreme Court of Westchester County, UnitedHealthcare suffered a set-back against attempts to prevent balance billing by an out-of-network physician. In this case, UnitedHealthcare (“United”) brought an injunction action against an out-of-network (OON) orthopedic physician and his medical group (i.e., who do not…
