How Medical Necessity Pertains to Patients and Providers

What happens when physicians disagree on what is medically necessary? What’s the difference between outright fraud and failure to accurately meet medical necessity for services that were rendered? Let’s explore these issues in greater detail.

When it comes to the healthcare system in the USA, much remains to be determined. Will the quality go down in a single-payer healthcare system, as taxes skyrocket? Or, will a reduction in costs…

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How Hospital Billing and Claims Management Processes Affect Revenue

Hospital billing and claims management processes have a clear and direct impact on the financial health of an organization. However, oftentimes healthcare executives blame poor performance on external factors, rather than analyzing internally. We take a deeper look at this issue and how hospitals can improve their practices to increase revenue. 

Hospital billing and claims management processes have a clear and direct impact on the financial health of an organization. However, oftentimes healthcare executives blame poor performance on external factors, rather than…

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