Big Insurers Underspend On Medical Care, Senate Probe Finds

Posted on 03. Nov, 2009 by Editor.

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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Make Even Problem Payers Pay Up With These Tips From 2 Pros

Posted on 10. Aug, 2009 by Editor.

Follow this 3-step path and get results from every payer.

At some point in her career, every biller deals with them. They are problem payers — and they can wreak havoc on your billing and on your practice’s income. Payment delays, improper denials, and…

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Pssssssst. Payer Report Cards Are Out

Posted on 05. Aug, 2009 by Editor.

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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CIGNA Opens Black Box: Get Paid With Modifiers 25 & 59

Posted on 07. May, 2009 by Editor.

You now have clear-cut policies to apply, including 1 on 96110 pay.

Say goodbye to secret black box bundles and hello to transparent CCI edits for one more insurer.

Adhere to CCI Edits, CMS Modifier Guidelines

Effective…

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New Tool Can Help You Slash A/R for Cigna Patients

Posted on 06. Mar, 2009 by Editor.

In April, Cigna will launch its new ‘Cost of Care Estimator’ nationwide, reports American Medical News.

How it works: When the patient comes in, a biller enters CPT codes associated with the plan of care. The tool breaks down what…

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

Posted on 23. Feb, 2009 by Editor.

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.

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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