by Gustavo Matheus | Apr 28, 2015 | Healthcare Reimbursement, Managed Care - General, Revenue Cycle Management
To Avoid Untimely Filing Denials, All Potential Payers Must be Billed Initially, Especially with MVA and MCO Accounts. One situation referred to my practice is a contracted provider fails to initially bill all potential payers. As a result, they must write off the...
by Gustavo Matheus | Mar 24, 2015 | Healthcare Reimbursement, Hospital Revenue Cycle, Managed Care - General, Medicaid Reimbursement, Revenue Cycle Management
When Injured Patient Arrives at ER, Hospital Managers Must Prepare for Interpleader Lawsuit, Seek to Recover Unpaid Medical Bills. From the moment a patient injured in an accident arrives at the emergency room, hospital administrators, emergency staff, and admitting...
by Gustavo Matheus | Feb 17, 2015 | Healthcare Reimbursement
by Carole Stewart Anhalt, J.D., LL.M., M.H.A. Note from Gustavo Matheus: Doctors and hospitals continue to lose significant revenue because the courts, legislatures and government agencies are often unwilling to acknowledge that healthcare quality and access are...
by Gustavo Matheus | Jan 27, 2015 | Healthcare Reimbursement
With the revamping of the federal HealthCare.gov insurance website, the Affordable Care Act has entered its second year – Obamacare 2.0. In the new year, one often-overlooked problem involves the security of patients’ private information – protected health information...
by Gustavo Matheus | Dec 16, 2014 | Healthcare Reimbursement, Medicaid Reimbursement, Revenue Cycle Management
The recent offer made to qualifying hospitals by the Centers for Medicare and Medicaid Services proposing partial payment for disputed claims is a teaching moment: Hospitals must submit timely appeals or face significant financial losses. To read more about this,...
