Payer audits: commercial payers pick up where Medicare leaves off

December 20, 2016

Commercial health insurers usually recognize a good idea when the government has one, and they are once again following Medicare's lead by increasing the number of claims they audit. Many providers are seeing an uptick-sometimes a very sharp one--in requests for additional documentation on patient charges, even though Medicare's Recovery Audit Program has been in a lull lately while it revamps.

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LifeWorks NW

Our mission at LifeWorks NW is to promote a healthy community by providing quality and culturally responsive mental health and addiction services across the lifespan.

OTHER WHITEPAPERS
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Testing the EMR and Beyond

whitePaper | October 5, 2021

At every stage of a patient’s well-being, different forms of technology and software support the expansion of better healthcare. As the reliance on technology grows, ensuring that these lifesaving systems don’t break under the strain is imperative. To keep operations running smoothly, healthcare IT professionals must perform regular and exhaustive testing. Fortunately, the introduction of automation, robotics, and artificial intelligence (AI) has made testing easier to deliver. In this eBook, you will discover how these technological developments help optimize processes, integrate workflows, and improve the performance of systems and medical devices.

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Patient Engagement Guide for Sponsors and CROs

whitePaper | November 19, 2022

Now, more than ever, sponsors and CROs need to prioritize including patient engagement in their study builds from the ground-up. This involves defining processes to remove barriers for access.

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Governance Frameworks in Digital Mental Health

whitePaper | November 8, 2022

This document is published by the World Economic Forum as a contribution to a project, insight area or interaction. The findings.

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Shielding Healthcare from Cyberthreats

whitePaper | November 14, 2019

The sheer magnitude of hacker attention isn’t the only concern for healthcare security professionals. The job of securing the healthcare technology ecosystem is made infinitely more complicated by several factors that are unique to healthcare.

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The Promise of Robotic Process Automation and Artificial Intelligence in Revenue Cycle Management

whitePaper | August 25, 2022

The revenue cycle process has a long and cumbersome history that continues to become more complex as policies, payer relationships, and patient expectations evolve.

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How health systems can recover millions in lost revenue

whitePaper | February 5, 2020

The landscape of healthcare revenue appears bleak: costs and expenses are rising, while reimbursements decline. Traditionally, solutions focus on preventative measures, yet costly write-offs remain ever-present. This is especially true with respect to commercial claims, where denials are plentiful and appeals complicated and labor intensive. How, then, can you mitigate loss without straining your resources? One answer is claims appeals through the Federal ERISA process. Through specialization in Federal ERISA Law, the experienced staff of ERISA Recovery can collect on aged claims without undue burden on your systems.

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LifeWorks NW

Our mission at LifeWorks NW is to promote a healthy community by providing quality and culturally responsive mental health and addiction services across the lifespan.

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