When it comes to hospital billing priorities, workers’ compensation (workers’ comp) is often the last kid in line … with good reason. Workers’ comp billing is complex, ever-changing, and it’s only a fraction...
An increase in healthcare claim denials in recent years has left many people wondering why. Denials are frustrating for multiple reasons, affecting providers and their patients. When a claim is...
The VA’s FY 2022–2028 Strategic Plan is built on four guiding principles – Access, Advocacy, Outcomes, and Excellence – and sets ambitious goals for modernization and service delivery by 2028:...
When hospitals treat patients injured in motor vehicle accidents (MVAs), payment recovery can be complicated, especially when liability and coverage are unclear. Hospital liens are a key tool that...
VA claims require equal parts expertise, patience, and compassion. Knowing what it takes to meet the exact standards of the respective VA/DOD payer requires extensive background knowledge and experience, and...
Healthcare providers can enroll in Medicaid in any state, but they must complete a separate enrollment for each state where they intend to submit claims. This process can be complex...
Throughout my career in managed care and workers’ compensation, I’ve worked alongside carriers, TPAs, bill review companies, and medical providers. Over time, I’ve seen plenty of innovation aimed at improving...
Out-of-state Medicaid billing is notoriously complex for hospital providers. Some providers even choose not to participate and write off the debt because of the tedious nature of the work and...
With the introduction of the Maintaining Internal System and Strengthening Integrated Outside Networks (“MISSION”) Act, the VA restructured and streamlined its authorization process. At the same time, when the VA...
