Has your facility wondered why insurers continue to squeeze Treatment Provider’s reimbursements? Did you know Substance Use Disorders are in the top 5 most financially impactful medical conditions insurance carriers face, as reported by The Blue Cross Index. Substance Use Disorders now rank alongside depression/anxiety/mood disorders; hypertension; diabetes; and high cholesterol for most costly medical issues. AVA can help in making sure your organization is setup in a manner to ensure proper payment from insurance carriers, maximizing your reimbursements, and more. Give us a call for a free consultation today! https://www.bcbs.com/about-us/capabilities-initiatives/health-america-initiative/blue-cross-blue-shield-health-index.
Medicare Audit on Therapy Claims
Have you or your treatment facility ever thought about what potential changes are coming from Insurance Companies? What about the outlook for reimbursement in 4th Quarter or 2017? 2016 has seen massive sweeping changes in reimbursement rates in the first 8 months alone. The transition from ICD-9 to ICD-10, changes in medical necessity criteria and accepted CPT coding have all impacted a vast majority of treatment providers. Changes like these will continue as the industry evolves. Medicare has issued a review for 60 minute psychotherapy sessions as a potentially over used CPT code. What this means is that claims being.
Providers Steering Clients to Obamacare
This article contains important information for any facility accepting medical insurance as payment for services. Reports state that the federal government has launched investigations into healthcare providers steering and/or assisting patients into Healthcare Exchange policies when oftentimes the patients qualify for Medicare or Medicaid. Steering patients to specific policies, insurance plans, or markets drives up healthcare costs. In turn, higher costs equate to increased premiums and increases the cost of coverage for all. With health insurance, if the risk pool gets to diluted with sick or treatment seeking people, insurers begin to experience great losses. As a result, insurers begin.