Billing and Collections
One health system told the ATA it would cost $1 million a year to comply with the billing mandates of the physician fee schedule final rule.
Health plans identify 39% of all disputes as ineligible, including 45% of non-emergency service disputes.
Family premiums are up $1,408 from last year, similar to the 7% increase recorded in each of the previous two years.
Simplify HCC coding to prevent "gaming" of system, says Alliance of Community Health Plans.
MA pays 10% to 15% less than what the government pays in traditional Medicare, report says.
Patient self-pay is increasing, says Curae Finance, which announced the new partnerships.
Managing the cost of GLP-1 drugs for weight loss is the top priority in pharmacy benefits, says Mercer survey.
Tackle managed care contracts, be more efficient, get back to the basics but be aggressive, says LCMC chief revenue officer.
An Advanced Explanation of Benefits for upfront estimates remains an outstanding provision of the No Surprises Act, senators say.
Letter is sent after reports HHS secretary intends to oust current members.