Denials and Appeals – Don’t Leave Money on the Table

If your health insurance claim is denied by your provider, you may be feeling a [...]

Charging for Missed Appointments

Missed appointments occur occasionally, if not daily, at some practices.  A missed appointment is potentially [...]

A Pause in Changing Winds for the No Surprises Act: New Ruling Rolls Back IDR Fees, Suspends HHS Portal

The No Surprises Act (NSA) has undergone sweeping legal changes over the last month. Since [...]

Empowering Seamless Dispute Resolution: Unveiling the No Surprises Act (NSA) IDR Fee Resolution

IDR Fees Revitalizing Dispute Resolution: Unveiling the Reshaped Landscape In the ever-evolving landscape of dispute resolution, [...]

2023 Third Party Payer Day

Join us for “Third Party Payer Day,” a highly anticipated event sponsored by Rivet Health [...]

Major Changes to the Medicare Claims Processing Manual, Ch. 12

CMS issued Transmittal 11842 which brings about some significant changes to the manual. CMS is revising the [...]

What You Need to Know About Good Faith Estimates for Sliding Fee Discounts

Good Faith Estimates How do you comply with the No Surprises Act’s Good Faith Estimate [...]

What You Need to Know About the 2023 Medicare Physician Fee Schedule Final Rule

Here are the highlights of the Centers for Medicare & Medicaid Services (CMS) updates and [...]

Facilitating 12,000 false claims costs chiropractor more than $15 million

Facilitating 12,000 false claims costs chiropractor more than $15 million We’ve all heard the admonition [...]

The No Surprises Act – Partial Final Rule Effective October 25, 2022

In July 2021, the U.S. Departments of Treasury, Labor, and Health and Human Services [the [...]