Oct 13th, 2017
Despite the inability of republicans in Congress to roll back the Affordable Care Act (ACA), President Trump has promised an executive order to offer relief to healthcare consumers facing rising insurance premiums. He is using “the power of the pen,” according to a tweet, to overhaul healthcare. Under the ACA, new insurance requirements prohibited insurers from denying sick ...
Mar 6th, 2017
During a Joint Address to Congress, Feb. 28, President Trump called on Democrats and Republicans to repeal and replace Obamacare with reforms that expand choice, increase access, lower costs, and provider better healthcare. “Mandating every American to buy government-approved health insurance was never the right solution for our country,” Trump said. “The way to make health insura...
Dec 12th, 2016
Many physicians and hospitals are asking patients for “estimated” out-of-pocket costs before their care. It ensures payment for doctors who may not receive payment for their services. The hospital push for point-of-service payment is to reduce high deductible healthcare debt from patients who now pay out-of-pocket for services not covered by insurance because the deductible is not ...
Dec 7th, 2016
There are times when a physician schedules a laparoscopic/arthroscopic/endoscopic, etc. procedure and, due to many various reasons, a physician may elect to convert to an open procedure to ensure the procedure is completed safely for the patient. In these cases, only the open procedure is coded and billed to the insurance company. The National Correct ...
Get an insider’s view into insurance payments and denials and healthcare reimbursements. By Michael Strong, MSHCA, MBA, CPC, CEMC and Tracy Hunt, CPC, CFE Billers, coders, revenue cycle management, and providers often think of insurance carriers as the “big bad wolf.” Having worked for several insurance carriers, we’ve repeatedly heard accusations from providers and their ...