In dental practices, insurance verification sets the stage for efficient revenue cycle management. According to a Dentistry IQ article, dental insurance checks make up approximately 50% of practice income. However, verifying dental insurance is a labor-intensive and...
Insurance Verification and Authorizations
Slight Cuts Proposed for Medicare Advantage Payments for 2016
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...
Health Insurance Coverage and Care – The Shifting Landscape
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...
Dermatology Payments Likely to Reduce in 2015 and Further
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,...
Increase in Hospitalization and ER Use After Medicaid Expansion is Temporary
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...
25% More Insurers Will Offer Health Insurance Marketplace Coverage in 2015
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...
CMS Proposes New Quality Measure Changes for Medicare ACO Program
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...
CMS’ New Meaningful Use Rule – A Welcome Step But Not Without Hitches
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...
US Medicaid Enrollment Reaches 6.7 Million
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...
Private Health Insurance Exchanges Enrollment Surging
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...
Eligibility for Health Insurance Subsidies in Question
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...