Here are 10 predictions and key trends for outpatient surgery and ASCs, including key specialties and outpatient growth, through 2027. 1. Over the next decade, inpatient discharges are expected to decrease 2 percent while outpatient volumes will likely grow 15 [...]
Regulators in California have fined Anthem Blue Cross Blue Shield $250,000 for failing to provide consumers with accurate provider directories, the Los Angeles Times is reporting. Consumers had difficulty locating doctors that were “in-network” and incurred unforeseen medical bills because [...]
Eve Miner does a lot of walking these days to improve her health. In addition to walking, one of her favorite workouts is getting out her bike and taking it for a spin a couple times a week. “I’m always [...]
It’s an exciting time of healthcare reform for the United States and a lot of that excitement revolves around the transition from ICD-9 to ICD-10. If you’re asking yourself what is ICD-10 and why it is important, then you’ve come [...]
We are – we have you covered! ICD-10-CM diagnosis code set is replacing ICD-9-CM coding on October 1, 2015. Important: All providers, payers, clearinghouses and billing companies are required to undergo the change from ICD-9-CM to ICD-10-CM. The change to the [...]
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, [...]
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 [...]
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 [...]
AllianceMed is a revenue generating service company that uses state of the art billing process rather than the medical provider. Using the Patient Protection Act we ensure that Insurance Companies are covering all benefits the patient elects to use, including their Out-of-Network benefits.
AllianceMed has an experienced team to handle all aspects of billing including claims, negotiations, and in-house legal counsel for more complex issues. Our teams are up to date on the Patient Protection Affordable Care Act (PPACA) regulations, laws and techniques to be constant innovators in our industry.