Posts Tagged ‘Medicare claims processing manual’
Let’s Take a Journey Through the World of Cost Containment By Leveraging Reference Based Pricing Model!
As healthcare costs continue to soar, employers are on a quest for innovative solutions to alleviate the burden without sacrificing quality care for their employees. In this pursuit, they have come across a rising star in the world of cost containment strategies – Reference Based Pricing. But what exactly is this mysterious method? Reference Based…
Read MoreHow a SaaS Repricing & Editing Tool Can Minimize Redundancy & Denials in Medicare Billing?
Medicare claims are often difficult for payers to process error-free. They frequently receive reports of claim errors from Medicare Administrative Contractors (MACs). Payers Often Commit The Following Types Of Errors. It may appear in MAC messages that MAC cannot process a claim without missing information in their message. Your claim cannot be processed because of…
Read MoreEmpowering Employers & Increasing Value For Self-funded Clients
Employers who choose to offer health insurance benefits to their employees have two options for paying or funding those benefits. Those two funding arrangements are self-funded benefits and partially self-funded benefits. Self-funded Arrangement: In the self-funded benefits arrangement, the employers guided by third party administrators (TPAs) creates, defines, and establishes a benefit plan for their…
Read MoreWhy Healthcare Payers Can’t Get Ahead With Yesterday’s Technology?
Many healthcare insurers are still working on rigid legacy systems that hold them back from enjoying the advantages of today’s innovative systems. As a result, they keep languishing in several fronts, such as flawed compliance capability, inefficient policy management, poor customer data privacy, and lack of visibility, among others. However, there are many insurers who…
Read More