UnitedHealthCare Denials for ALS-2 Claims Written by Brian Werfel on May 9, 2017. Posted in Medicaid, Medicare, Member-Only, Private Insurance, Reimbursement, Talking Medicare.
CMS Letter Regarding Merit-Based Incentive Payment System Written by Brian Werfel on May 5, 2017. Posted in Medicaid, Medicare, Member Advisories, Member-Only, News, Regulatory.
HHS Letter to Governors on Medicaid Changes Written by Mark Postma on March 17, 2017. Posted in Government Affairs, Medicaid, Member Advisories, Regulatory, Reimbursement.
Administration’s Proposed Rule on Marketplace Stabilization Written by Kathy Lester on March 1, 2017. Posted in Government Affairs, Medicaid, Medicare, Member Advisories, Member-Only, Private Insurance, Regulatory.
The Future of Prior Authorization Written by Brian Werfel on February 7, 2017. Posted in Medicaid, Medicare, Member Advisories, Member-Only, Reimbursement.
Medicare Relief and Reform Letter by President Postma Written by Mark Postma on January 25, 2017. Posted in Medicaid, Medicare, Member Advisories, Member-Only, Reimbursement.
GAO Report on Revised Provider Enrollment Screening Process Written by Brian Werfel on December 21, 2016. Posted in Medicaid, Medicare, Member Advisories, Member-Only.
2015 Medicare Data Shows Evident of Crackdown on Non-Emergency Transport Written by Brian Werfel on November 29, 2016. Posted in Medicaid, Medicare, Reimbursement, Talking Medicare.
CMS SMR Contractor Audit Error Written by Brian Werfel on November 15, 2016. Posted in Medicaid, Medicare, Member Advisories, Member-Only.
CMS List of Medically Unlikely Edits for Ambulance Services Written by Brian Werfel on November 15, 2016. Posted in Medicaid, Medicare, Member Advisories, Member-Only, Reimbursement.
Findings Patterns Where None Exist Written by Brian Werfel on October 28, 2016. Posted in Medicaid, Medicare, Reimbursement, Talking Medicare.
Acadian’s Asbel Montes on Ambulance Payment Reform Written by Asbel Montes on September 22, 2016. Posted in Medicaid, Medicare, Reimbursement.
CMS Moratoria Update Written by Kathy Lester on August 3, 2016. Posted in Government Affairs, Medicaid, Medicare, Member Advisories, Member-Only, Regulatory.
2016 Medicaid Crossover Study Written by Brian Werfel on July 22, 2016. Posted in Medicaid, Reimbursement.
AAA 2016 State Medicaid Ambulance Rate Survey Results Released Written by Brian Werfel on June 30, 2016. Posted in Medicaid, Reimbursement, Talking Medicare.
HHS Office of Civil Rights Announces Phase 2 HIPAA Audit Review Program Written by Brian Werfel on April 25, 2016. Posted in Medicaid, Medicare, Regulatory, Reimbursement, Talking Medicare.
CMS Implements Cycle 2 Revalidation Program Written by Brian Werfel on April 22, 2016. Posted in Government Affairs, Medicaid, Medicare, Regulatory, Reimbursement.
Calculating Excess Mileage Written by Brian Werfel on February 23, 2016. Posted in Medicaid, Medicare, Reimbursement, Talking Medicare.
CMS Publishes Medicare Fee-for-Service Provider & Supplier Lists Written by Tristan North on February 22, 2016. Posted in Government Affairs, Medicaid, Medicare, News.
Medicaid Waivers to End Coverage of Non-Emergency Transportation Written by David Werfel on February 16, 2016. Posted in Medicaid, Medicare, Reimbursement.