States are limiting AI in coverage decisions. How billing teams can cite the laws on appeal, and why self-funded plans fall outside them.
|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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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.
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New CPT codes, a DEA telehealth deadline and a Dec. 31 risk analysis cutoff all run through your EHR. Here's the year-end checklist.
UnitedHealth says No Surprises Act arbitration awards are its biggest cost pressure. What practices that use IDR should document now.
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