Claims Processing
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06:00 am |
August 15, 2022
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06:00 am |
August 15, 2022
Here are some tips for your next optimization, starting with identifying KPIs to creating an ongoing optimization culture.
The judge has awarded legal fees of $626 million, representing 23.47% of the settlement fund.
HHS and other departments make clear that contraceptive coverage is guaranteed at no additional cost under the ACA.
HIMSS22
Mark Martin, vice president of product management for Availity, discusses how the company employs AI and machine learning to assist providers and payers in streamlining referrals, approvals and claims management.
Twenty-five states have restrictions on coverage of abortion, while in the others insurance carriers determine what their plans will include.
However, 15% of those say their claim was eventually paid by the insurer, according to eHealth.
These plans were not intended as long-term, comprehensive coverage and do not have to abide by consumer protections in the ACA, letter says.
Legislation could permit insurers to base payment for COVID-19 tests administered out-of-network on their median in-network rate, AHIP says.
SPONSORED
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11:05 am |
February 01, 2022
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11:05 am |
February 01, 2022
As payers adopt electronic payment solutions, providers need data-driven insights to help drive optimization, efficiency and savings.
CFO and VP of Finance Jeff Francis and Amy Raymond of AKASA, will speak on automation in the revenue cycle, at HIMSS22.