Industry Insights

Silent PPOs, 3rd Party Negotiating Companies, and Repricing Software

Posted on: February 7th, 2017 by claimsworks
Silent PPOs, 3rd Party Negotiating Companies, and Repricing Software, and how you can to stop them in their tracks and recover what you are owed By Maggie Caudell, Managing Director of ClaimsWorks, Inc. Increasingly, healthcare insurance carriers ... Read Full Article

HIPAA COMPLIANCE and Why the Wise Provider Enlists Help in Achieving it

Posted on: May 31st, 2016 by claimsworks
HIPAA stands for The Health Insurance Portability and Accountability Act, which was passed by The US Congress in phases during 2000 – 2003, with the intent of instituting administrative reforms. The act was designed to hold the healthcare industry ... Read Full Article

How you’re managing PQRS now – will impact your 2017 Medicare Part B claims. The CMS Value-Based Modifier (VBM) Program

Posted on: October 21st, 2015 by claimsworks
The work you’re doing now…and how you’re reporting it, is already impacting how much The Center for Medicare and Medicaid Services (CMS) will pay you in 2017. CMS will be implementing another phase of its “Value-Based Payment Modifier” prog ... Read Full Article

Navigating the early days of ICD-10

Posted on: October 8th, 2015 by claimsworks
How the ICD-10 transition is impacting your healthcare world likely depends on two things – what type of organization you’re part of, or own, and the steps taken by you and your team, as well as your payers, billers, and EHR vendor to prepare for ... Read Full Article

ICD-10 Preparedness: Delays, Progress and Reality Checks…and the survey says?

Posted on: April 14th, 2015 by claimsworks
Industry experts believe there will not be another ICD-10 delay this year, but most in the HIT community are taking a wait and see approach while encouraging practices to continue preparing for a transition this year. According to a survey by the ... Read Full Article