How insurers get back at high-charging doctors.
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Fee Schedules↗
SEARCH · PubMed Health
Results for “Insurance Claim Reporting”
Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.
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Slash health care costs with claims automation.
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Automation↗
Guidelines for treatment of malpractice claims reduces diversity.
Various accounting practices are used for the treatment of medical malpractice claims, related malpractice insurance, and trust funds. To decrease the diversity of accounting practices in these areas and provide more specific guidance to healthcare providers, the AICPA has issued several proposed guidelines concerning accounting treatment of asserted and unasserted medical malpractice claims, providers' claims-made insurance policies, retrospectively rated insurance premiums, captive insurance companies, and trust funds.
Accounting↗
PRO claims reviews provide a closer look at medical necessity.
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Health Benefit Plans, Employee↗
Supreme Court's decision adds little to antitrust analysis.
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Economic Competition↗
From hands and paper to buttons and circuits: considerations for computerizing claims handling.
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Computers↗
Corporate experience in automated claims handling.
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Computers↗
Don't pay twice for health care.
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Cost Control↗
Insurers have little recourse when docs withhold HIV data.
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Acquired Immunodeficiency Syndrome↗
Losses send Blues scrambling.
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Blue Cross Blue Shield Insurance Plans↗
Electronic claims submission helps group practice cut costs.
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Computer Communication Networks↗
Streamlining electronic claims submission.
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Blue Cross Blue Shield Insurance Plans↗
Blue Cross system manages tight control of drug costs.
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Blue Cross Blue Shield Insurance Plans↗
PPO's system bills customers directly for its providers--Preferred Health Network.
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Computer Communication Networks↗
Multi-option offerers look for complex DP systems.
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Health Maintenance Organizations↗
Insurance staffers claim CAR systems net cost, service edge.
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Blue Cross Blue Shield Insurance Plans↗
Collecting from third-party payers.
Self-pay collections and insurance collections are similar. Phone the insurance company, obtain a firm payment date, and follow up when payment is not received. Be organized and persistent. Don't hesitate to contact the patient for help. This is the patient's bill that you are trying to collect. You are working on his behalf but the patient is ultimately responsible for payment. The bottom line in third-party collection is phone contact and persistence.
Accounting↗