Tag Archive: Complex

Healthcare costs are higher than ever, and providers often find themselves dealing with reimbursements that are less than expected. Hospitals should review their contracts carefully in these cases.

What Is the Standard?

The Centers for Medicare & Medicaid Services (CMS) provide a framework for medical reimbursements that many healthcare providers assume will be the norm going forward. However, insurance companies continue to strategically limit their risks by negotiating contracts that may differ from these standards. Executive level managed care expertise is required to negotiate contracts in cases like these.

Ensure Payment Within Terms

Healthcare contracts are one thing; getting paid within terms is often another challenge. Your collections department must be on top of trends with your patients and their insurance companies to ensure that you collect as much as possible.

Code Correctly

Insurance coding is complex at best. Numerous articles in the popular press have introduced the public to …