Claims Processing
Leqembi is the first amyloid beta-directed antibody to be converted from an accelerated approval to a traditional approval.
The lawsuit alleges that Aetna took more than $1.3 billion from Kraft Heinz to pay providers.
It's important to have IT and operations work together and to get employees onboard, say experts speaking at HFMA.
This is driven by stronger inpatient trends and utilization in the ER, in outpatient surgeries and dental services.
Premiums spent on healthcare costs are expected to reach the upper bound of the MA insurer's full-year outlook.
The company's primary focus is on employers with 25-200 employees.
Changes in reimbursement and payment policies are impacting remote patient monitoring.
AHIP President and CEO Matt Eyles says he fully expects an appeal.
CMS has released a proposed rule to speed up prior authorization approval.
About 78% prevail in getting disputed charges reduced or removed, survey finds.