Articles Tagged With: covered
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Data Are the Key to Avoiding Claims Denials
Claims denials have increased by 11% nationally since the onset of the COVID-19 pandemic, according to an analysis. Almost half of claims denials are caused by front-end revenue cycle issues, including registration/eligibility, authorization, or service not covered. Implementing a process to check eligibility at multiple points throughout the revenue cycle will go a long way in preventing this common denial from occurring.
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Some Patients Present With ‘Hidden’ Insurance Coverage; Patient Access Can Uncover It
Certain patients who say they do not have any insurance actually are covered in some way. It is the job of patient access staff to find it — and avoid uncompensated care for the hospital.
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HHS offers guidance to patients on accessing their protected health information
Responding to complaints that the Health Insurance Portability and Accountability Act sometimes makes it difficult for patients to obtain their own medical records, the Department of Health and Human Services Office for Civil Rights recently issued guidance to help people better exercise their existing rights for accessing that information.