Claims Processing
The RADV final rule comes after increasingly high profile instances of apparent over coding from Medicare Advantage Organizations.
Availity's senior director of product development, Kristina Hutson, discusses four great advantages of electronic authorization for group practices and hospitals.
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11:32 am |
November 17, 2022
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11:32 am |
November 17, 2022
Digital cloud faxing can remove manual processes for greater efficiencies
Centene made no admission of liability and maintained its business practices are lawful.
The groups indicate further court action is coming due to continued problems with the interim and final rules.
The departments say they have received "substantially more" disputed claims than expected.
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06:00 am |
August 15, 2022
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06:00 am |
August 15, 2022
Here are some tips for your next optimization, starting with identifying KPIs to creating an ongoing optimization culture.
The judge has awarded legal fees of $626 million, representing 23.47% of the settlement fund.
HHS and other departments make clear that contraceptive coverage is guaranteed at no additional cost under the ACA.
HIMSS22
Mark Martin, vice president of product management for Availity, discusses how the company employs AI and machine learning to assist providers and payers in streamlining referrals, approvals and claims management.