By Lisa Eramo – When it comes to denials, physicians may feel as though insurance carriers have always have the upper hand. But this long-held belief isn’t true—especially when the claims in dispute are subject to the Employee Retirement Income Security Act (ERISA) of 1974.
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By Ricki Ransom – Healthcare providers are spending a significant amount of time and energy with patients just to find out that an insurance company will fight them on paying for the services provided.
By Crystal Ewing – Historically, providers have often treated claim denials the way many of us treat a speeding ticket. We may not be quite sure how much we were actually speeding—we may even disagree that we were speeding at all.
By Lindsay Stratman – You’ve delivered the care. Your team has diligently documented the encounter and coded the claim. They’ve ensured it reflects everything they know should be included for that specific payer.
By Susan Jaffe – Despite interventions by Medicare officials, the number of appeals from health care providers and patients challenging denied claims continues to spiral, increasing the backlog of cases and delaying many decisions well beyond the timeframes set by law, according to a government study released on June 9th.
By Sarianne Gruber – Consolidated Health Services would agree that to stay financially healthy – especially when it comes to preventing denials, means investing in a better technology solution for receivables management. I had the opportunity to interview Don Hoskins, Revenue Cycle Support Manager from Consolidated Health Services and learn about the challenges.
Register for these upcoming Revenue Cycle Management webinars focusing on claim denials and appeals, and ICD-10 readiness.