Even among the most seasoned healthcare revenue cycle experts, ERISA appeals are often a new concept. By our estimates, as many as 98% of provider organizations do not realize they can expect a 1% increase in net patient service revenue by exercising the appeals rights granted to them by the federal ERISA law. Because Argos […]
Argos Health was named the #1 Complex Claims Vendor in the 2019 and 2020 Black Book surveys of hospital executives, and is a KLAS top-ranked vendor for complex claims.
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By our estimates, as many as 98% of provider organizations assume that health plans have the last word in coverage decisions and reimbursement rates. Often, they don’t. Most private-sector health plans are actually subject to the Employment Retirement Income Security Act of 1974 (ERISA). This means that providers are typically owed millions of dollars in […]
The average hospital claim denial rate increased 23% in 2020, but those funds may not be lost. Two little-known COVID relief measures opened a new route that may allow providers a second chance at recovering 2020 revenue. It’s not through the traditional state-governed appeals process. In May, the federal government issued two COVID relief notices […]
Argos Health is pleased to announce that it has added ERISA Appeals to its suite of complex claim revenue recovery services. Argos is continually searching for new services to offer its clients, and we believe ERISA recoveries are a largely untapped opportunity in the hospital revenue cycle. Read the full press release for more details.