It’s helpful to understand payer-specific contract terms and government billing requirements when developing work lists or work queues and reports. Analyzing data that comes from claim scrubber edits, return to provider edits, variances, and denials can provide insight into repetitive issues that delay the processing of a claim or lead to denials.
As Congress begins to focus on its year-end agenda, AHA urged lawmakers to prioritize certain actions to help hospitals and health systems address rising costs, workforce challenges and diminished Medicare and Medicaid reimbursements.
Insured and uninsured Americans children aged 5-11 can also receive the new bivalent Pfizer and Moderna COVID-19 boosters at no cost as long as the federal government continues to purchase and distribute them, the Centers for Medicare & Medicaid Services announced .
At an AHA virtual policy briefing for congressional staff, hospital and health system leaders urged Congress to prioritize actions to address the rising costs of caring, workforce challenges and diminished Medicare and Medicaid reimbursements, which have made 2022 the most difficult financial year for the hospital field since the COVID-19 pandemic began.
Harrisburg, PA — It’s being dubbed one of the most significant changes to the medical insurance process in decades and it’s set to go for a vote in the Pennsylvania General Assembly this week. Senate Bill 225 would streamline the prior authorization process in PA.
Runaway healthcare and coverage prices are boosting historic inflation that’s reducing Americans’ purchasing power and living standards. Last week, the Bureau of Labor Statistics announced core inflation rose by 6.6 percent over the past year, the fastest rate in 40 years.
