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Price discrepancies for the same medical procedures show how unfair insurance practices erode trust, leaving patients confused, financially strained, and feeling helpless.
If a patient is suing you – and it can happen more easily than you want to imagine – then personal malpractice insurance can come in handy. At the same time, you want to make sure you ask all the necessary questions to find out how much your employer’s insurance covers you. What Is Medical Malpractice and Why Do I Need Protection?
The goal of equalizing medical spending cannot justify forcing everyone to pay for the same expensive coverage. Most of us need cash more than comprehensive plans.
In this stage of the medical billing process, your front-end staff ensures proper collection and recording of valuable data essential to provide proper services to the patient and ensure their coverage. However, errors in this data are common and have consequences for your practice. Main issues in the check-in process 1.
What is senior life insurance? It is an insurance policy aimed at covering expenses that come with old age like medical costs, nursing care costs, remaining debts and burial or funeral expenses. Senior life insurance […]. The article Life Insurance For Seniors appeared first on electronichealthreporter.com.
Whether you’re a physician starting a practice or a healthcare provider working to expand patient access, getting medicalinsurance credentialing is vital. RELATED ARTICLE: Optimizing Insurance Payer Reimbursement with RCM Services What is MedicalInsurance Credentialing? Let’s dive in.
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If medical claims management is such a vital part of the healthcare ecosystem, why is it so frustrating? Don’t worry; we’ll also recommend actionable strategies for quick wins and long-term solutions, improving medical claims processing for better results and happier staff. It’s also a big part of accounts receivable.
In the third quarter, the seven major publicly traded insurers’ medical loss ratios increased an average of 3.3 percentage points year over year — a major jump in medical costs.
billion to buy ProAssurance could be a sign of more consolidation among companies selling medical malpractice coverage. News that The Doctors Company is spending $1.3
Cyberattacks and data breaches have been announced by Sunflower Medical Group, The Center for Digestive Health, NVW Newco, Endless Mountains Health Systems, and the Department of Veterans Affairs Eastern Colorado Health Care System. It is currently unclear which hacking group is behind the attack, and if patient data was compromised.
Getting access to your medical records isn’t always easy. Under HIPAA’s privacy rule, all patients have the right to inspect, review, and receive a copy of their medical records and billing records that are held by health plans and health care providers. However, state laws and provider regulations can complicate this process.
Physicians spend a significant amount of time on administrative work, from writing letters to handling insurance documentation. Akanksha Dadlani, MD, Psychiatry - Insurance letters and prior authorizations Akanksha Dadlani, MD, MPH primarily uses Doximity GPT for writing patient letters, particularly for insurance and prior authorizations.
Sunflower Medical Group is facing a class action lawsuit over its recently disclosed data breach involving the protected health information of almost 221,000 current and former patients. Sunflower Medical Group is a private multi-specialty medical practice with four locations in Kansas. Sunflower Medical Group, P.A. ,
When high-deductible health plans became part of health insurance design in America, they were lauded as giving patients “more skin in the game” of health care payments. counties with the highest share of residents with multiple chronic conditions, such as diabetes and heart disease, also tend to have the most medical debt. .
Elevance Health reported nearly $6 billion in 2024 profits including $418 million in the fourth quarter as the health insurer worked to overcome rising medical expenses.
with employer-sponsored health insurance worry that a major health event in their household could lead to bankruptcy, according to research gathered by West Health and Gallup in Business Speaks: The Future of Employer-Sponsored Insurance. through a lower accumulation of medical debt,” the study concludes. One-half of U.S.
Operating income fell for all but two insurance divisions operated by major payers in the fourth quarter. And 2025 may be no better, after many major payers released outlooks suggesting medical costs will continue climbing this year.
billion in the fourth quarter as its health insurance business works to overcome rising medical expenses. CVS Health reported $4.6 billion in 2024 profit including $1.6
Despite its significance, the manual processes involved in tackling medical claims are error prone and time-consuming. Join us as we examine how automation revolutionizes medical claims processing accuracy and improves outcomes across the healthcare spectrum. Reducing duplication errors in medical claims documentation.
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medical system fails to treat all patients equally. Those with Medicaid often lack access to the same primary care and subspecialty clinics as those with Medicare or private insurance and face longer wait times. Introduction It is no secret that the U.S. Medicaid is jointly funded by the states and federal government.
Being so close to the New Year, it is of high importance that your medical practice finishes its medical billing in good time. This will go a long way toward your medical practice’s financial health and operational efficiency. Here are three essential tasks to help you wrap up your medical billing for the New Year: 1.
Insurance credentialing is an important, intricate process that results in you becoming a “paneled,” in-network provider for a health insurance plan. In this article, we will explain how to get credentialed with insurance companies using the three most common methods. Blog What Is an Insurance Panel? Medicare ).
If you are considering pursuing a career in medical billing and coding, you may have questions like where you will be able to work after receiving your certification or license. Many healthcare settings require the services of medical billing and coding specialists for record organization and management, insurance claims, and billing.
The bombshell dropped by Rachel Reeves in last week’s budget regarding the increase in National Insurance contributions (NICs), without exempting GP practices, has been described as a monumental body blow to the heart of the NHS.
In this stage of the medical billing process, your front-end staff ensures proper collection and recording of valuable data essential to provide proper services to the patient and ensure their coverage. However, errors in this data are common and have consequences for your practice. Main issues in the check-in process 1.
This recognition underscores MEDVA’s transformative impact on healthcare efficiency, affordability, and quality of care, as it empowers medical practices across the United States to address staffing challenges with virtual assistants (VAs) who deliver essential support for operational tasks. Founded by doctors Steven Kupferman, M.D.,
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The medical journal JAMA published the first trial. A Harvard group of mostly medical people randomized 2800 low-income people in a Massachusetts town to receive a cash benefit of $400 per month for 9 months or not. Unlike many medical researchers, the economists wrote strongly about the null results, as if they were not disappointed.
How financially vulnerable are people with medical debt in the U.S.? The Kaiser Family Foundation and Peterson Center on Healthcare analyzed the NFCS data through a consumer health care financial lens with a focus on medical debt. Those with medical debt in the U.S. Those with medical debt in the U.S.
Healthcare practices are often plagued with medical billing compliance questions like: “Am I upcoding?” ” With all of these concerns, it’s vital that providers and billing departments understand and follow the key elements of proper medical billing compliance to run a successful practice.
Medical assistants are crucial in healthcare settings, serving as the backbone of clinical operations. However, there are several myths and misconceptions surrounding the role of medical assistants. In reality, medical assistants typically complete accredited training programs or earn an associate’s degree in medical assisting.
Delegating specific medical billing processes in your practice to an expert partner offers a strategic and forward-thinking approach to enhancing efficiency, reducing administrative burdens, and ensuring financial stability. Read more about this in our blog 5 reasons to outsource your medical billing.
Running a successful medical practice requires more than providing excellent patient care. Reports are a great data-driven means of benchmarking the performance of specific processes or functions within your medical practice. Five essential reports every medical practice should run 1. At Health Prime, we can help!
Physicians surveyed by the American Medical Association say prior authorization can cause care delays or force patients to abandon treatment. Denials could also increase as insurers adopt AI to review claims.
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