Are you being underpaid by medicare advantage organizations?

Posted by Kate Tingley on Oct 4, 2019 6:19:34 AM

What’s the Problem?

Sequestration underpayments have been improperly withheld from provider payments by many Medicare Advantage Organizations [MAO] in violation of CMS guidelines that were issued on May 1, 2013.

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Topics: medical billing, medical coding, revenue cycle management, medicare, Collections, Health Insurance

CMS looks to expand medicare coverage to CAR-T therapy

Posted by Kate Tingley on Oct 4, 2019 5:46:20 AM


CMS plans to cover a specific kind of immunotherapy for cancer patients.

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Topics: medical billing, medical coding, medicare, Healthcare, Health Insurance

CMS wants to make selling out-of-state insurance easier

Posted by Kate Tingley on Oct 4, 2019 5:42:06 AM

The Trump administration has already encouraged the sale of insurance plans across state lines through controversial association health plans (AHP), which allow employer associations to skirt some of the ACA’s core consumer protections.

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Topics: Healthcare, Health Insurance

Consumer-driven plans shift behaviors to cut costs

Posted by Kate Tingley on Oct 4, 2019 5:40:02 AM

Members enrolled in consumer-driven health plans (CDHP) have a greater feeling of ownership over their healthcare and shift their health-related behaviors, which leads to lower costs, according to a new study from Cigna.

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Topics: Health Insurance

Defining what ‘Defined Contributions’ mean for work-based health insurance

Posted by Kate Tingley on Oct 3, 2019 7:07:52 AM

What if employers started giving workers a chunk of cash to buy health insurance on their own instead of offering them a chance to buy into the company plan? Are workers ready to manage their own health insurance like they do their 401(k)?

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Topics: Health Insurance

Got health insurance? That doesn’t mean you’ll be able to pay your medical bills

Posted by Kate Tingley on Oct 3, 2019 6:20:20 AM

got-health-insurance

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Topics: Health Insurance

Health insurance deductibles up 150% over last decade

Posted by Kate Tingley on Oct 3, 2019 6:14:06 AM

Health insurance deductibles have been steadily rising over the last decade, jumping 150% since 2009, according to an analysis by the Kaiser Family Foundation (KFF).

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Topics: Healthcare, Health Insurance

Important update on medicare payment rates and MIPS

Posted by Kate Tingley on Oct 3, 2019 5:26:46 AM

2018 is the second year of transition in the Merit-Based Incentive Payment System (MIPS). If you are required to report data for 2018 and fail to do so, you’ll receive a 5% reduction in Medicare payments in 2020. In fact, unless you are participating in a Medicare Alternative Payment Model, the only way to receive any payment increase between 2019 and 2020 is to score more than 15 points in the MIPS Program. Unlike the first program year, you’ll need to get started early in the year to ensure success. Here are the key changes that will influence your score in 2018:

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Topics: MIPS, medical billing, medicare, patient collections, Healthcare, Health Insurance

Kaiser family foundation introduces a valuable tool for medicare advocates

Posted by Kate Tingley on Oct 3, 2019 5:22:37 AM

In the past several years, the Center for Medicare & Medicaid Innovation (CMMI), part of the Centers for Medicare & Medicaid Services (CMS), has designed and implemented demonstration projects and models to try new ways of paying providers to deliver health care to people with Medicare. These tests of new designs attempt to see if there are ways providers can be paid that will increase the quality of care people receive while either keeping costs stable or, ideally, lowering them.

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Topics: medicare, Health Insurance

Most under-35s okay with insurers digital spying if it cuts prices

Posted by Kate Tingley on Oct 3, 2019 4:18:30 AM

The majority of people between 18 and 34 would be willing to let insurance companies dig through their digital data from social media to health devices if it meant lowering their premiums, a survey shows.

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Topics: technology, Healthcare, Healthcare Data, Health Insurance

Coronis Health strives to provide valuable healthcare billing, revenue cycle and practice management information to practices and hospitals. Our blog is one of the many ways we serve as a resource to the healthcare community. Here you'll find articles on:

  • Reimbursement and coding changes
  • Tips and tricks for specialty practices
  • Resources for revenue cycle success

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