Denial Management

Turning over complex claims to third-party specialists increases revenue and improves internal productivity, Black Book survey respondents say.
A Kaiser Family Foundation analysis concludes as many as 52 million non-elderly Americans have conditions that "would leave them uninsurable" under pre-Obamacare underwriting practices.
The coding and payment changes are designed to improve Medicare payment accuracy for services to patients with multiple chronic conditions, mental and behavioral health issues, and cognitive impairment conditions.
Medicare review contractors will now be able to reject claims solely on questionable diagnostic codes.
An attempt to prevent patient sticker shock resulting from Medicare's denial of nursing home expenses after a discharge.


Latest News

Claims Life Cycle
Thirty-three percent of the American public supports a single-payer system, up from 21 percent in 2014.
Claims Life Cycle
Senate Majority Leader abandons plan to force a vote before the July 4 recess.

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