by Admin Anderson Quinn | Aug 4, 2021 | Healthcare Reimbursement, Healthcare Updates, Managed Care - General, Managed Care Reimbursement
Why Insurance Article § 15-1009 Should be Applicable to Managed Care Organizations This is the second of two articles regarding Maryland laws in need of updating. By: Jason C. Anderson and Gustavo Matheus In our last article, found here, we discussed the need for...
by Admin Anderson Quinn | Jun 3, 2021 | Healthcare Reimbursement, Healthcare Updates, Managed Care - General, Managed Care Reimbursement
Why Healthcare Providers Should Insist on Laws Requiring Payment of Services Denied for Lack of Authorization: A Maryland MCO Case Study. This is the first of two articles regarding Maryland laws in need of updating. By: Robert P. Scanlon and Gustavo Matheus Two of...
by Admin Anderson Quinn | Sep 4, 2019 | Anderson & Quinn News, Healthcare Reimbursement, Healthcare Updates
Anderson & Quinn Congratulates Gustavo Matheus Joining Leadership Montgomery CORE Class for 2020 Gustavo Matheus, director of Anderson & Quinn, LLC’s health law practice, has been selected to join Leadership Montgomery’s flagship CORE class for 2020. “I want...
by Chris Thibeault | Dec 3, 2015 | Appeals and Denials, Healthcare Appeals, Healthcare Reimbursement, Healthcare Updates, Hospital Reimbursement, Hospital Revenue Cycle
Medicare’s Consolidated Billing Rules for Home Health Beneficiaries Apply to Hospital Claims. In reviewing denied claims referred to our office, it is my experience that hospitals must be aware of Medicare’s Consolidated Billing rules when providing services to home...
by Gustavo Matheus | Oct 29, 2015 | Appeals and Denials, Denied Claim Appeals, Healthcare Appeals, Healthcare Reimbursement, Healthcare Updates, Hospital Reimbursement, Provider Denials
Timely appeals help preserve rights of healthcare providers. The signed agreements between healthcare providers and managed care plans regulate the terms of the parties’ business relationship. These terms, often detailed in the payer’s provider manual, seem simple:...
by Gustavo Matheus | Sep 29, 2015 | Appeals and Denials, Healthcare Reimbursement, Healthcare Updates, Managed Care Reimbursement, Payer Reimbursement
Periodic bulletins and newsletters can also change the terms of executed agreements. Participating agreements between healthcare providers and payers include requirements to comply with the payer’s managed care policies, as outlined in the healthcare provider manual....
