After a 2014 scandal uncovered long wait times and insufficient care from VA facilities, Congress passed legislation that expanded veterans’ access to healthcare and enabled them to visit non-VA hospitals for treatments. However, even though the Department of Veterans Affairs was supposed to pay as a secondary payor ...
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Especially for facilities near state borders, out-of-state Medicare and Medicaid claims can cause huge headaches. Many hospitals just consider it write-off business. But this outlook leaves millions of unclaimed dollars on the table—and we can help you get that revenue back. This case study illustrates our commitment ...
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Approximately 5-10% of medical billing claims are rejected each year. These claims are extremely expensive to rework, requiring resubmissions and hindering productivity. To maximize income, facilities must start by identifying how their denials are holding them back. Our white paper gives you four simple tips on how ...
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Eligibility and enrollment services require one-on-one interactions with patients—which is something large hospitals rarely have the bandwidth to do well. Unfortunately, sacrificing patient screening for the sake of efficiency hinders reimbursement. In an effort to maximize patient satisfaction and streamline ...
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Disability is a lengthy and arduous process; waiting on a case to be determined by the Social Security Administration (SSA) for disability can be a daunting experience. Claimants are commonly faced with medical issues, mounting medical bills, and little to no income. Sixty-seven percent of applications are denied ...
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While hospitals have long pursued liens as a method of increasing cash collections, did you know that processing liens, when done thoughtfully, should improve your patient experience? When a patient has been a victim to another’s negligence, he or she does not commonly understand that the responsible party’s insurance ...
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On September 9, 2019, the United States Court of Appeals for Veterans Claims invalidated federal regulations related to reimbursement of a Veteran’s cost of emergency medical care at non-VA facilities. Specifically, the Court held that the VA must reimburse Veterans for out-of-pocket emergency medical expenses not ...
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