What Can We Expect for the 2012-2013 Flu Season?
Are you ready for the 2012-2013 flu season? Do you know what to expect? Have you begun preparing for your vaccination? Are there any differences between 2011-2012 and 2012-2013? […]
How Do You Reduce Medical Denials?
Health insurance claim denials can be very costly and time consuming. When a claim is denied, the consumer has the opportunity to appeal the decision. Healthcare organizations must […]
Are Increased Mergers Related to ACA?
The Washington Post wrote an article titled “ADA Driving Health Care Mergers” as of August 26, 2012. This article cited 2 recent healthcare mergers: Aetna purchasing Coventry Healthcare and Health Care REIT purchased Sunrise Living.
The Affordable Care Act – Summary of Provisions Still to Come
Affordable Care Act (ACA) Summary of Provisions
The Affordable Care Act is such a comprehensive piece of legislation with so many provisions, it is difficult to keep track of what […]
10 Predictions for the Future of Healthcare
Healthcare, as we know it, is changing at an explosive rate especially in conjunction with the economy as well as the introduction of the Patient Protection and Affordable Care Act (PPACA). Future of healthcare
The Value of CARF Accreditation
What is the Value of CARF Accreditation?
What is the Value of CARF Accreditation? The Commission on Accreditation of Rehabilitation Facilities(CARF) was founded in 1966 and is an independent, nonprofit […]
Medical Necessity and the Role of Physician Services
Medical necessity is a medical claims determination which encompasses outcomes which are justified as reasonable, necessary, and/or appropriate based on evidence-based clinical standards of care. Evidence-based medicine (EBM) aims […]
BHM Healthcare Solutions Launches Enhanced PRS Portal
BHM Healthcare Solutions, a healthcare consulting firm first introduced the PRS portal for providing physician peer reviews in August 2011. Since then, BHMs IT Department has made continual improvements to the PRS Portal to increase automation, efficiency, and responsiveness.
Case Review: Internal Versus External Reviews
For a Free Presentation on Medical Necessity Criteria Please Click […]