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 | Oct 28, 2014 | Hospital Revenue Cycle, Managed Care - General, Payer Reimbursement, Probate
by Ron Landsman, Esq. – Guest Contributor Note from Gustavo Matheus: When dealing with high-cost medical cases, oftentimes hospitals lose significant revenue simply because they fail to create special needs trusts. Since such an omission results in many missed...
by Gustavo Matheus | Sep 23, 2014 | Healthcare Reimbursement, Hospital Revenue Cycle, Managed Care - General, Payer Reimbursement
Given that a patient’s health records reveal highly personal and sensitive details, federal and state law protects patients against the unwanted disclosure of their private health information. And for healthcare facilities and physicians, a particular and recurring...
by Gustavo Matheus | Aug 26, 2014 | Healthcare Reimbursement, Hospital Revenue Cycle, Managed Care - General, Payer Reimbursement
The purpose of the many state prompt-pay laws on the books is to ensure that health plans pay undisputed medical charges without delay or face steep late-payment interest rates in addition to the claim’s principal amount. For added protection against delinquent...
by Gustavo Matheus | Apr 22, 2014 | Healthcare Reimbursement, Managed Care - General, Medicaid Reimbursement
Hospital emergency room doctors, nurses and technicians are our trusted first-responders who are legally bound to treat all patients, regardless of their ability to pay. And just as ER patients count on these life-saving emergency care providers, hospitals depend on...
by Gustavo Matheus | Feb 25, 2014 | Healthcare Reimbursement, Managed Care - General, Medicaid Reimbursement
The Maryland Department of Health and Mental Hygiene has proposed a rule that significantly improves the dispute resolution process for healthcare providers appealing managed care organization (MCO) payment denials based on medical necessity grounds. Under the...
