Tag:

payers

Latest Headlines

Latest Headlines

Hospital-payer billing errors abound

Billing between hospitals and payers is often riddled with errors, creating a confusing situation as to how much healthcare delivery actually costs, reported The Plain Dealer. Up to 40 percent of

Tiered health plans confuse physicians, patients

As part of the health industry's movement toward greater cost-consciousness, tiered and limited network health plans are on the rise and confusing patients and physicians alike. In Massachusetts,

3 tactics to take control of payer reimbursement

As demonstrated by the more than 4,700 recent physician remarks about their relations with payers, physicians believe that insurers strive to wear them down with repeated denials and paperwork

Provider trust can cause an HIE to sink or swim

Amid the ongoing debate over the sustainability of multi-stakeholder health information exchanges, the National eHealth Collaborative (NeHC) has released a report explaining why some HIEs have been

Providers should protect patients from bogus medical debt

A lot of exciting news has come out of HIMSS in Orlando this week. And while I highly encourage you to stay up to speed on the latest and greatest in health information management via Fierce's

Sanity saver: Maintain a master grid of payer rules by CPT

If you're like most of our physician practice clients, you likely participate in the networks of at least a dozen managed care companies. This means that you not only have to manage different fee

Healthcare con artists keep costs up

You see them on the sidewalks of cities like New Orleans and New York. They're cheerful but streetwise, urging you to bet on the "right card," or engage in a similar activity that is neither friendly

How to bring in cash like a billing company

The claim: Outsourcing your medical billing will save you time, resources and headaches. Well, sure, I've thought to myself while researching the topic. I could make the same argument to hire a

Blumenthal, Berwick call meaningful use a 'starting point' for a better health system

Two government officials who have been at the forefront of health IT implementation and quality improvement for years call last month's publication of the standards for "meaningful use" of EHRs a

SPOTLIGHT: Five areas where provider management needs to evolve

The world of insurance is changing. Reform is spurring on innovation in new products, new types of incentive models and new types of care models. But what might that mean for payers?