To ABN or not to ABN, that is the question…..
To be sure, navigating the Medicare system and keeping up with changing rules and new forms and instructions can be time consuming and difficult! Mandatory uses for the ABN The ABN instructions for mandatory uses of the ABN lists several scenarios or items for which the provision of [...]
Date: Wednesday, November 16, 2011 3:06 PM
Is Your Fee Schedule Defensible?
FAIR Health calls for Transparency
As a healthcare provider, are you able to defend your fee schedule to both patients and insurance carriers? A 2009 settlement in a lawsuit filed by New York’s Attorney General against United Health Group has resulted in the formation of an independent nonprofit entity named FAIR HealthTM. FAIR Health was called upon [...]
Date: Tuesday, October 18, 2011 8:15 PM
Texas Department of Insurance Imposes Fines on Payers, Doctors, Clinics
The Texas Department of Insurance, Workers’ Compensation Division (TDI-DWC) has just released a list of payers, clinics, and doctors for whom disciplinary measures have been imposed due to violations of the Texas Labor Code and DWC rules. A brief review of the Enforcement Actions posted for 2011 reveals that roughly half of the entities who received [...]
Date: Wednesday, August 10, 2011 4:12 PM
National Insurer Report Card Reveals Ways for Providers to Improve Collections
According to the AMA’s latest findings, commercial health insurers have an average claims processing error rate of 19.3 percent, an increase of two percent compared last year.
National Health Insurer Report Card
“Unacceptable!” May be the first thought that comes to mind. While there is absolutely no doubt that insurers have a long way to go to [...]
Date: Wednesday, June 29, 2011 2:27 PM
Department of Insurance Helps Increase Clinic Bottom Line
What could your clinic do with an additional $6000? Or much more? What if you had an ally in the government who could and would be willing to assist you? An often forgotten or under-utilized ally is your state’s Department of Insurance. We are HRS have had great success by relying on our allies at the DOI [...]
Date: Wednesday, June 8, 2011 10:11 PM