The OIG’s determinations seem to fly in the face of the basic concepts of medical necessity.
The imaging market in the United States is estimated to generate more than $100 billion annually. While approximately 60% of the imaging volume is conducted within hospitals, making imaging a key source of ...
Dr. Maurice Allgeier, Vice President of One Pediatrics, recently recorded a podcast with Becker's Hospital Review where he discusses how an independent practice can maintain financial resiliency during COVID-19 and why integrated care models are more important than ever. Dr. Allgeier specifically covers how One Pediatrics got more ...
The cost and administrative burden associated with prior authorizations is not new, nor is it getting better for physicians or health systems. According to MGMA, provider practices report a
Many claim that people in the United States have access to the best healthcare in the world. And while that is easily refuted with data from multiple sources, there is no question that the United States has one of the most complex healthcare delivery systems in the world. The combination of public ...
It is crucial to understand the differentiation between a denial for lack of medical necessity and a denial for incorrect status.
A year after operating margins dipped into negative numbers and YOY revenues decreased as much as
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