Insights

United Healthcare Changes You Should Know About: Sepsis-related Treatment Claims Review

Jul 7, 2021 3:13:09 PM / by Aspirion posted in Denial Management, Complex Claims

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Beginning July 1, 2021, United Healthcare (“UHC”) will begin reviewing Medicare Advantage and commercial claims for sepsis-related treatment on a pre-payment basis and post-payment basis. Previously, UHC only reviewed sepsis-related claims on a post-payment basis. Payer policy changes, such as this, can have a lasting ...

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Ensuring Reimbursement Through Effective Appeals

Jul 8, 2020 10:23:10 AM / by Aspirion posted in Denial Management, Complex Claims

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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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