Tag:
claims denials
Latest Headlines
Latest Headlines
Aetna reimburses transgender member for mammogram
Aetna has reimbursed a transgender female for a doctor-recommended mammogram she underwent two years ago, reversing a previous decision to deny coverage. Beth Scott had a mammogram in 2010, and aetna...
Excellus fined $1M for denying ER claims
Excellus Blue Cross Blue Shield was fined almost $1 million for improperly denying emergency room claims and failing to explain benefits to its members. The New York Department of Financial Services
Anthem likely to defy order to pay outstanding claims
California state regulators ordered Anthem Blue Cross Blue Shield on Thursday to pay providers for outstanding claims owed during the last four years. However, Anthem is pushing back and might not
4 tips for a strong post-recession practice
Even with signs of economic recovery , patients are struggling to pay their medical bills, making it continually difficult for practices to maintain healthy bottom lines. For example, Dr. Mark G.
Insurers often reverse claims denial, GAO says
A new report from the Government Accountability Office found that although insurers frequently deny claims due to billing errors, missing information or judgments on whether the care or service is
Streamlined medical billing could save physicians $7 billion annually
"I'm at the office late every night taking care of mindless paperwork, just so the insurance companies can deny payment," a physician colleague told New York Times columnist Pauline W. Chen, MD, for
CMS sets limits on RAC 'additional documentation' request for 2010
CMS this year will limit the number of additional documentation requests--such as medical records and claims records information--that Recovery Audit Contractors can seek from hospitals over a 45-day
