Providers who complain that behavioral health treatment limits and reimbursement denials are unduly restrictive may have a new ally. The U.S. Department of Labor has turned its attention on arbitrary …
Benefit Coordination: The Art and Science Behind MVA Claim Reimbursement
Every year, 3.7 million patients are treated in the ER for injuries related to motor vehicle accidents. Each one of them may have up to five different insurance carriers who could potentially pay for …
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3 Reasons to Outsource Your MVA Claims (and they’re not what you think)
Right now, your inbox is probably filled with dozens of pitches from vendors who promise that outsourcing will lead to increased revenue, lower costs, and improved efficiency. That’s all true—but …
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Hospital Liens Explained: How to Protect a Hospital’s Rights to Reimbursement for MVA Claims
Don’t be confused by recent news—a hospital lien has absolutely nothing to do with suing patients. It’s a valuable tool that facilitates hospital reimbursement from third-party settlement funds. …
Why Hospitals are Missing Up to 75% of MVA Claims
In 2019 alone, motor vehicle accidents cost the U.S. healthcare system approximately $463 billion. Unfortunately, it’s unlikely the hospitals treating injured patients recovered even a quarter of the …
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Healthcare Payment Recoups are Often Recoverable Under ERISA
Provider organizations tell us that as much as 1% of their net patient service revenue is recouped annually by payers. They don’t realize that most of those takebacks are expressly prohibited under …
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