How Do You Reduce Medical Denials?
September 18, 2012
Now that we’ve discussed how you can reduce medical denials, follow our Insights page for more of our valuable content on health policy and upcoming
Author: BHM Marketing
Are Increased Mergers Related to ACA?
September 12, 2012
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
September 6, 2012
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
10 Predictions for the Future of Healthcare
August 31, 2012
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
Medical Necessity and the Role of Physician Services
August 14, 2012
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.
What are PA Services: Understanding physician advisor services?
August 13, 2012
What Are PA Services? Exactly what are PA services? Physician Advisors serve in multiple capacities throughout healthcare and managed care organizations. They conduct medical necessity
BHM Healthcare Solutions Launches Enhanced PRS Portal
August 7, 2012
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.
Part 2 – Peer Reviews: NAIRO’s External Review Regulations
August 6, 2012
NAIRO’s External Review Regulations The National Association of Independent Review Organizations (NAIRO) was formed in 20012 by a group of URAC-accredited Independent Review Organizations (IROs).