Claim – How to Appeal When Denied

Each reimbursement claim goes through an adjudication process once it reaches a clearinghouse and eventually, every biller will receive a denial. Depending upon the reason, healthcare providers can appeal the decision and MIBs will play a major role in the process. In... read more

Will Obamacare Cause a Shortage of Clinicians?

Under the Affordable Care Act known as Obamacare, approximately 30 million new patients will enter the healthcare system. The Association of American Medical Colleges estimates that by 2015, the U.S. will require 60,000 more doctors than it will have at that time. The... read more

How Obamacare Attempts to Tackle Over-Utilization

It wasn’t that many years ago that few people had healthcare insurance and they only went to the doctor when faced with life-threatening injuries and illnesses. For virtually everything else, they utilized a variety of home remedies and over-the-counter treatments.... read more

Will Obamacare Impact Your Current Insurance Plan?

For the approximately 80 million individuals who already have healthcare insurance through an employer-offered policy, they won’t have to purchase coverage on the Health Insurance Marketplace. They can keep the policies they have but may be taxed on them, depending on... read more

How Obamacare Supports Accountable Care Organizations

The Affordable Health Care Act, known as Obamacare, impacts private practices in multiple ways, but nowhere is that more evident than a pilot program of Accountable Care Organizations (ACOs). An ACO is a group of healthcare providers that work as a team to deliver and... read more