Hold times, delayed approvals and denials on authorized care dominated member feedback to MGMA's government affairs team.
|Articles|February 10, 2017
5 Specialties with the Highest Denial Rate in 2016
A new infographic from RemitDATA reveals which five specialties and five procedures had the highest denial rate in 2016, as well as the five most common reasons why.
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MGMA is pushing back on any delay as insurers describe a three-step build.
Payers deny with AI while practices appeal by hand. Taya Gordon on retiring 30-day AR buckets, the benchmarks to watch and a quick downcoding check.
From payer contract homework to a 15-minute morning huddle, these are the moves practice administrators can make after four days of sessions and interviews at MGMA's centennial meeting.
An IDR win isn't a check. Payers have 30 days to pay, courts won't force them to and CMS admits awards are slipping through.
Madison Hynes of MGMA explained what practice leaders should watch as electronic prior authorization and Medicaid work requirements arrive Jan. 1.
Heal 360's $20 million settlement over swabs billed as full office visits shows how scribe and template notes can expose any practice.
CMS' 2027 fee schedule proposal would pay for RPM and RTM only when practice employees do the work. Here's what practices should review now.
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