Anthem Blue Cross, California's largest for-profit health insurer, is raising premiums for individual insurance policies by 30-39 percent on March 1, according to a report by the Los Angeles Times.
Add a comment Click to continue »Gastroenterology and endoscopy can be profitable and successful services for your ASC, provided volumes are high and centers maximize their reimbursement. For this reason, it is important for ASCs to keep denials for these procedures low.
Add a comment Click to continue »Responding to an earlier report, officials from Blue Cross Blue Shield of Massachusetts said it will not pay for phone calls made by physicians or other healthcare providers, according to a report in The Patriot Ledger.
Add a comment Click to continue »The Centers for Medicare and Medicaid Services has issued Transmittal 620 to address improper payments in areas discussed in four reports released by the Office of the Inspector General.
Add a comment Click to continue »Here is the average payor mix for surgery centers based on their region, according to VMG Health's 2009 Intellimarker.
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Amy Mowles, president and CEO of Mowles Medical Practice Management in Edgewater, Md., offers the following advice on negotiating reimbursements with commercial payors for pain management for ASCs.
New laws in Idaho and Illinois give patients the right to independent review of health insurance benefit denials, accordant to a report by American Medical News.
Add a comment Click to continue »AdvantEdge Healthcare Solutions, one of the nation's leading providers of medical billing and practice management services, has acquired Medical Account Services, the premier anesthesia billing company throughout Ohio, according to an AHS news release.
Add a comment Click to continue »It is annoying and very time-consuming, but it is very important to appeal denied claims. Insurance companies count on providers not pursuing appeals — only 35 percent of providers do. Yet, many times appeals can be successful, so they're worth the time. They are also a valuable tool for determining what needs improvement in the business office.
Add a comment Click to continue »It is illegal in a number of states for physicians to pay a percentage of collected fees to billing and collections companies, a practice known as "fee splitting," but the prohibition has been widely ignored and percentage-payment arrangements have flourished, according to Chicago Attorney Kimberly J. Kannensohn, a partner at McGuireWoods.
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