by Gustavo Matheus | Aug 25, 2015 | Healthcare Reimbursement, Healthcare Updates, Hospital Reimbursement, Managed Care Reimbursement, Payer Reimbursement, Revenue Cycle Management
What would you tell health plans if you had the chance to talk to them in person? Typically, participating agreements between healthcare providers and payers include requirements for a Joint Operating Committee (JOC) meeting, as an opportunity to address and resolve...
by Gustavo Matheus | Jul 28, 2015 | Healthcare Reimbursement, Healthcare Updates, Hospital Reimbursement, Hospital Revenue Cycle, Managed Care Reimbursement
Most health plans have contracts with hospitals that require billing within 180 days of the date of service. Some self-insured plans allow hospitals to submit their bills for up to a year. There are strict statutes in place to ensure these billing deadlines are...
by Christopher Oram | May 27, 2014 | Healthcare Reimbursement, Hospital Reimbursement, Hospital Revenue Cycle, Managed Care Reimbursement, Medicaid Reimbursement, Revenue Cycle Management
Published by the Centers for Medicare and Medicaid Services (CMS) in August 2013, the Inpatient Prospective Payment System/Long-Term Care Hospital Final Rule (CMS-1599-F) – known as the two-midnight rule – poses a bureaucratic headache for hospitals and treating...
