Providers lean on AI startups to limit, challenge insurance denials Providers are finding use cases for artificial intelligence on their side of the claims submission and appeals process. 01/1/2025 - 8:00 pm | View Link
Her Mental Health Treatment Was Helping. That’s Why Insurance Cut Off Her Coverage. Providers, patients and even some federal judges say progress-based insurance denials harm patients at key moments of mental health treatment. 12/30/2024 - 9:00 pm | View Link
Most Americans blame insurance profits and denials alongside the killer in CEO death, poll finds Most Americans believe health insurance profits and coverage denials share responsibility for the killing of UnitedHealthcare’s CEO — although not as much as the person who pulled the trigger. 12/29/2024 - 4:48 am | View Link
Most Americans Say Profits, Denials Partly to Blame in CEO Killing: Poll About 70 percent of Americans believe health insurance profits and coverage denials share the blame for Brian Thompson's killing. 12/27/2024 - 2:19 am | View Link
Behind the health insurance denials and pre-authorizations drawing anger — and what to do about them The killing of UnitedHealthcare CEO Brian Thompson ignited public anger over insurance claim denials and pre-approvals, highlighting systemic issues in health care. 12/21/2024 - 9:59 pm | View Link
Denials Management & Appeals Reference Guide Recoup lost time and revenue with denials management and appeals know-how. Claim denials can sink a profit margin. And given the cost of appeals, roughly $118 per claim, not all denials can be reworked. A practice submitting 50 claims a day at an average reimbursement rate of $200 per claim should bring in $10,000 in daily revenue. 01/3/2025 - 5:19 am | View Website
Denials Management for the Medical Coder Managing denials is more difficult in 2018 than it was in 2005, 2000, or 1998. Not because practices are necessarily receiving more denials from payers but because unlike the early to mid-2000s and 1990s, we are now posting payments via auto remit programs, so denials and underpayments get automatically applied without a coder/biller questioning the validity of the denials or underpayments. 01/3/2025 - 5:12 am | View Website
How to Manage Medical Claim Denials Using an automated system for placing denials into work lists is typically the fastest method. Most payers have timely filing guidelines for appeals, and these periods may be quite short. Turn to the RA to Determine How to Proceed. Coding denials should be forwarded to a Certified Professional Coder for processing. The remittance advice (RA) is ... 01/3/2025 - 3:32 am | View Website
What Is Denials Management? What Is the Denials Management Process? The denials management process in medical billing helps healthcare organizations ensure their medical providers are properly compensated for medical services, procedures, equipment, treatment, and care. Here are key steps in the denials management process: 1. 01/2/2025 - 7:18 pm | View Website
Retool Your Denial Management Program With medical claim denials on the increase, healthcare entities can’t afford to sit idly by. Payer denials are undoubtedly occurring more frequently across all specialties and settings. It does not matter if you are a solo provider in the Midwest, a large physician group practice in the Southeast, or a hospital in the West. 01/1/2025 - 8:52 pm | View Website
The man who exploded a Tesla truck outside Trump's Las Vegas hotel wrote of “political grievances,” armed conflicts elsewhere and domestic issues in the days leading up to his suicide, officials said Friday. Via CNN:
The writings were found in the cellphone of Matthew Alan Livelsberger, the truck’s driver, said Sheriff Dori Koren of the Las Vegas Metropolitan Police Department in a news conference.
In his writings, the driver of the Cybertruck said the incident was intended not as a “terrorist attack” but rather “a wake-up call,” according to police.
Sen. Bernie Sanders (I-VT) said yesterday that he’s going to introduce legislation in the next Congress to fulfill one of RePresident-elect Donald Trump’s campaign promises.
We pause now for a routine reminder that not everything Trump says is bad. Thank you. We now return you to your regularly scheduled newsfucking.
Sanders said he was referring to Trump’s promise to cap your credit-card interest rates at 10%:
This is an especially pertinent issue at the moment, as Americans burdened by predatory Wall Street debt are defaulting on their credit-card debts at rates unseen since the last economic crisis.
The Financial Times reports that Wall Street credit-card companies wrote off $46 billion in unpaid debts during the first nine months of this year.
KANSAS CITY, Mo. — The Chiefs finally departed from Kansas City International Airport for their game in Denver on Saturday after spending about four hours stranded on the tarmac amid an ice storm that blanketed the region ahead of an impending blizzard.
The Chiefs tried to move up the flight as the weather, which had been predicted all week, bared down on them.
Colorado’s Jade Masogayo, right, shoots over Baylor’s Aaronette Vonleh on Jan. 4, 2025, at Foster Pavilion in Waco, Texas. (CU Athletics)
WACO, Texas – Typically, the Colorado women’s basketball team isn’t one that will back down after falling into a hole.
On Saturday, the Buffaloes once again proved their grit with a couple of big rallies, but they couldn’t muster a third.
Fueled by a run late in the third quarter, Baylor cruised past the Buffs 76-62 on Saturday at Foster Pavilion.
The Buffs (10-4, 1-2 Big 12) trailed by as many as 19 points late in the game as they finished off an 0-2 week in Texas.
Nathan MacKinnon’s incredible hockey career can be divided into phases: The rise to No. 1 pick phenom. The early NHL plateau. And then a step forward to star and champion.
We have now entered Phase 4 of MacKinnon’s career, where he is an unstoppable force of nature and building a legacy that could make him one of the all-time greats.
Denver philanthropist Tim Gill’s advocacy on behalf of gay and lesbian Americans was recognized by Joe Biden with the Presidential Medal of Freedom on Saturday at the White House.
Gill grew up in the western suburbs of Denver and founded his software start-up, Quark, in 1981 after graduating from the University of Colorado.