Tag Archives: Aetna

Big Insurers Underspend On Medical Care, Senate Probe Finds

Posted on 03. Nov, 2009 by Editor.

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Which big health insurance company did lawmakers single out? Is it the one that gives you the most denials trouble?

A US Senate probe confirms what many coders and billers have been suspecting all along — that six major medical…

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Aetna Announces New Policy of Payment Refusal for ‘Never Events’

Posted on 29. Sep, 2009 by Editor.

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Make sure you know the extra steps your practice must take as well.

Many payers are jumping on the “never event” bandwagon, and Aetna is the most recent. The payer announced recently that it will no longer pay you for…

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Pssssssst. Payer Report Cards Are Out

Posted on 05. Aug, 2009 by Editor.

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If you know your payers’ strengths and weaknesses, you’re better equipped to fight denials and negotiate contracts that are in your best interest.

So check out the American Medical Association’s second annual National Health Insurer Report Card. The AMA has…

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Aetna EOB Makes New Mom Feel Like a Babe in the Woods

Posted on 27. May, 2009 by Editor.

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If you’d like a glimpse of what your coding or billing job might feel like to a patient, check out Anna Wilde Matthews’ tale of trying to decipher her $36,625 bill after she vaginally delivered a healthy baby. “Bringing my…

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AMA Sues Aetna, Cigna for Out-of-Network Reimbursement Rates

Posted on 23. Feb, 2009 by Editor.

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The American Medical Association isn’t stopping with the $350 million United Healthcare settlement. Now, a class action suit involving the AMA has set its sights on Aetna and Cigna.

Still at issue: The fact that United Healthcare owns Ingenix, the…

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NY AG Fines United Health $50 Million for Under-Reimbursement

Posted on 15. Jan, 2009 by Editor.

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Getting money from big insurers may be like squeezing blood from a stone, but New York Attorney General Andrew Cuomo is trying, says NBC’s Today Show.

Cuomo’s Beef: Oxford Insurance and its parent company, United Health Group, say they use…

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