In case you missed it, here are some updates on what is going on in the world of healthcare. In the New Age of Healthcare Consumerism, Convenience is King Why CMS is Pushing for Interoperability Medicare Expansion Proposals Draw Hospital Concerns Uninsured Rate Remains Below 10% as More Choose High-Deductible Plans
Learn more about The Argos Advantage. CASE Claim received and upon conducting research realized the claim was filed to the incorrect VA facility. The UB and medical records were submitted to the correct VA facility and the follow up process began while the claim was awaiting Mill Bill review. CLAIM AMOUNT $17,000 – $22,000 RESULT
VA and other complex claims are great opportunities for providers to outsource. These claims represent a smaller percentage of claim volume that requires outsized efforts to properly bill and collect. The complexity of the VA claim process begins prior to a patient seeing a community care provider. Understanding the variables of this process can help
In case you missed it, here are some updates on what is going on in the world of healthcare. Analysis: Pulling back curtain on hospital prices adds new wrinkle in cost control What is Revenue Cycle Management and Why is it Important VA is implementing a new community care claims processing software
Learn more about The Argos Advantage. CASE Claim was filed incorrectly to the patient’s health insurance and not the VA. Our team submitted the claim to the VA, along with medical records. The VA claim rejected for errors multiple times and we worked with our hospital facility to obtain a corrected claim. CLAIM AMOUNT $1000
Workers’ Compensation claims are typically only 3-5% of a hospital’s revenue. However, they require a disproportionate amount time and expertise to process due to their complexity. Improper handling can quickly cost the hospital time and revenue. Why are these claims so difficult? On the surface they look similar to any other insurance covered treatment. But,
In case you missed it, here are some updates on what is going on in the world of healthcare. 2018 – A Year in Healthcare Review Kaufman Hall Perspective Best’s Market Segment Report: Rising Medical Costs, Payrolls and Legal Expenses Threaten U.S. Workers’ Comp Profitability How CVS Plans to Change Its
Learn more about The Argos Advantage. CASE Patient received bill for an MRI from a collection agency and disputed the charges. Unfortunately, the collection agency representative was rude and told the patient not to call back. CLAIM AMOUNT $400 – $900 RESULT After reviewing the claim in question it was determined the bill was from
Any change to claims processing procedures can be frustrating for hospitals. When those changes involve federal agencies, frustrations can quickly compound. The federal government announced several planned changes to the Veterans Choice Program (VCP) in 2018 and 2019. Hospitals will need to stay on top of these anticipated changes affecting VA patients at community care
According to national data from the Centers for Disease Control and Prevention, Motor Vehicle Accidents (MVAs) represent 4% of a hospital’s emergency room volume; however, they are often an overlooked source of revenue. MVA claims are complicated. They can involve multiple insurers and multiple billing parties, for this reason they are often the most difficult