9 million Americans are covered by both Medicare and Medicaid and are part of a unique community of healthcare consumers known as the dual eligible. Dual eligible beneficiaries often have complex health conditions and may be low income, meaning that their access to healthcare would be greatly limited if not for their dual eligibility for coverage.
When faced with a denied claim, your first question as a physician, biller or consumer should be why? Your best defense against these denied claims, and your greatest chance of winning an appeal, comes from understanding why the claim was denied by the insurer.
The key to increased revenue in the Emergency Room is a patient-centered focus. As a patient, one of the main healthcare criticisms is waiting for hours and hours in the Emergency Department (ED).
Summary: Are you managing ED throughput effectively? How do your ED wait times compare with national, regional and local […]
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Affordable […]
Point-of-service payments reduce self-pay balances, and lead to revenue cycle improvement
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The healthcare sector as we know it is changing rapidly. Reimbursement cutbacks are rampant. How are you coping with these changes? Are you maximizing reimbursement? Are you analyzing your revenue cycle? Are you reviewing and auditing your claim denials? Have you looked at scheduling? How about billing and coding?
Healthcare Predictive Modeling will be the savvy organizations best friend in 2014Over the past […]
