Preauthorization (P.A), also known as precertification, prior authorization, or prior approval is a mandatory process set by many insurance companies to determine whether the plan(s) cover the prescribed treatment, procedures, medication or equipment. This is to...
This February, the U.S. government proposed a 0.9 percent cut in payments to insurers for Medicare Advantage (MA) plans for the year 2016. The proposal came as part of a notice issued by a division...
The Patient Protection and Affordable Care Act (ACA) was implemented to enable easier and more effective healthcare access to millions of Americans. Presently, the health insurance marketplace is...
It's time to focus on your dermatology medical billing as new developments in the healthcare field implies a reduction in physician payment in 2015 and may be in the coming years. In October 2014,...
A new study from the "UCLA Center for Health Policy Research" reports that the expansion of Medicaid under the Affordable Care Act (ACA) may lead to considerable increase in the use of emergency...
According to the preliminary data released by the Department of Health and Human Services, consumers will probably have wider choices while shopping for affordable coverage at the health insurance...
The Affordable Care Act (ACA) necessitates the Centers for Medicare and Medicaid Services (CMS) to launch a shared savings program to facilitate coordination among healthcare providers thereby...
The new rule released by CMS provides a breather for physicians since it allows flexibility in certified EHR technology for meeting meaningful use in 2014. In addition, this rule finalizes the...
The Affordable Care Act (ACA) aims to expand the health insurance coverage to millions of Americans through a combination of public programs and private-sector health insurance expansions. A recent...
As the implementation of health reforms continues in the US, significant attention has been paid to the state/public health insurance exchanges opened under the Patient Protection and Affordable...
In the United States, under the new healthcare law about 8 million people have signed up for private health plans via health insurance exchanges. However, as per the latest reports from federal...
