Denial Rates for Medical Claims are as High as 80% for Some Payers Participating in the Marketplace Research shows that denial rates for in-network services among Healthcare.gov payers varied significantly,…
Why Medical Billing Costs are up in the USA? Studies show that medical billing costs in the US significantly exceeds those in similar countries, but researchers now know why: coding…
Strategies to Navigate Through Patient-First Billing New laws and regulations and insurance complexities make patient-first billing a challenge for hospitals. How HealthCare organizations are overcoming these obstacles through people and…
Medicaid & CHIP Quality Reporting Across States as of August 18, 2022 – Proposed New Rule The Proposed new rule describes mandatory reporting requirements to standardize Medicaid and CHIP quality…
Is Physician EHR Good For The Patient Experience? EHRs where designed to improve the care experience for providers and patients. Providers and patient seem to have different opinions as to…
Increase in Healthcare Spending Has Better Health Outcomes Among most causes with the highest healthcare spending and highest burden, an increase in spending per case was associated with an increase…
