Many hospitals and group practices have a (CBO) central billing office. This is the place where all of the commercial health insurance claims take place. In order to make this…
Commercial health insurance underpayments are problematic. They occur when the health insurance company decides – for one reason or another – that it doesn’t need to pay your hospital or…
Commercial health insurance claim denial percentages can vary. Some practices or hospitals only have to deal with a small amount of them – 5% for example. For others, that percentage…
Anyone who’s read the paperwork that comes with their health insurance policy is no doubt aware of the differences between in network and out of network appointments and procedures. These…
The experts are predicting a rise in commercial health insurance claim denials. These denials end up costing hospitals and clinics quite a bit of money, as they must pay their…
Surgical centers are growing in number. These clinics, also known as ambulatory surgical centers, specialize in outpatient surgeries where the patient goes home after a short (usually a few hour…
Medicare, government-backed insurance for those of retirement age, has been in the news quite a bit recently. Those headlines refer to the fact that the Medicare fund may run out…
Commercial insurance companies regularly change their claims processes. This complicates the billing process and can lead to medical appeals. Since clinics and hospitals only receive three of these appeals on…
Over the last ten years, countless physicians’ offices have been snapped up by hospitals and larger networks. These officers were added in order to simplify the provider process, which is…
According to recent statistics, commercial health insurance underpayments are on the rise. As of 2012, the payment accuracy rate for these insurance companies hovered around 62.08 percent. What does this…