Insurance claim denial

UHC to Deny Claims for “Non-Emergencies”

The US’ largest health insurer, UnitedHealthcare, is delaying a controversial new policy. Emergency room visits considered “non-emergent” may be partially or fully denied coverage. The policy to deny claims was set to go into effect on July 1. However, UHC is now delaying implementation at least until the pandemic is over.

American Hospital Association president Richard Pollack rebuked the plan in a public letter to UHC’s CEO.

Worst passwords of 2021

World Password Day

The first Thursday in May is World Password Day, a great reminder to review your passwords and practices. While all computer and mobile device users should think about security, it’s even more critical for the healthcare industry.

Too many people still rely on easy-to-remember words and dates for their logins. Being easy to remember can unfortunately make them easy to guess or crack.

Remote Employees for Medical Practices

Practices Get Back to Work and the ‘New Normal’

After facing a long shutdown, many medical practices are finally getting back to work and are facing new challenges.

Physicians and medical staff are getting caught up on missed surgeries and preventive health appointments now that COVID-19 cases are dropping and vaccinations are becoming more available. For many of us, it may seem as though every healthcare worker is on the front lines fighting COVID-19;

Homehealth

Coalition Advocates for Home-Based Care

It’s been demonstrated that healthcare providers can see patients who are at home (or anywhere). Moving Health Home, a coalition of healthcare companies including Amazon Care, is now educating and lobbying officials and policymakers in support of home-based care. The group supports increased coverage for home care services and bundled payments.

In addition to Amazon’s foray into healthcare,

Medical Reimbursement by VCC Costs Practices Money

Insurance carriers are increasingly resorting to reimbursing medical claims using virtual credit cards (VCCs), but the convenience to healthcare providers is offset by the loss of some of that medical reimbursement to transaction fees.

While being paid via VCC is a more efficient reimbursement than the paper checks of yore, they aren’t legally considered “electronic”

Independent Medical Groups

Independent Medical Groups Generated a Profit, While Health System-Affiliated Medical Groups Suffered a Loss In 2019

According to a survey released by the American Medical Group Association (AMGA) on Dec. 22, in 2019 independent medical groups generated a profit, while health system-affiliated medical groups suffered a loss. 

The press release the AMGA published states: “AMGA’S newly released 2020 Medical Group Operations and Finance survey reveals that although most groups saw improved financial performance in 2019,