Compliantly Optimize Healthcare Reimbursements
Denials and underpayments are defects in the revenue cycle that indicate a provider’s inability to comply with payer requirements or a payer’s inability to accurately pay a claim. CRN Healthcare Solutions works with practices to evaluate and implement lean process workflow denials management so that every dollar not paid which should have been paid is addressed and followed up.
New CMS App Limited, But a Start
The Centers for Medicare & Medicaid Services (CMS) has launched a new application in the Apple App Store and Google Play Store for Medicare Part B beneficiaries. This application, called What’s Covered, is part of CMS’ developing eMedicare program… For...
98point6 Wants to be Amazon Prime of Primary Care
A Seattle company looks to make primary care as easy as buying something off of Amazon.com. 98point6 is a Seattle start-up brain child of Rob Schwietzer who scaled Amazon Prime from thousands to millions and CEO Robbie Cape from Microsoft. 98point6 … For more,...
Court Upholds Ruling in UnitedHealthcare Out-of-Network Case
The Eight Circuit Court of Appeals upheld a lower court’s ruling regarding out-of-network payments by UnitedHealthcare (UHC). How Ruling Got Started UHC has a policy of offsetting payments for patients in a different plan when they are trying to… For more, read...
Medicare Part D Prescription Drug Model to Change in 2020
There are big changes on the horizon for the Medicare Part D prescription drug model, and they’re going to affect medical coders. The current reimbursement system and payment model for Part D creates incentives for plans to push patients to the … For more, read...