Paper Processing is No Rx for Payments

Fest, Glen
May 2006
Bank Technology News;May2006, Vol. 19 Issue 5, p10
Trade Publication
The article reports on the unworkable electronic remittance processes endured by health insurance administrator. According to the study of the PNC Financial Services Group, 91 percent of hospital officials claim they must resubmit all their claims at least once they get paid. This manual problem continue to persist, despite the existence of HIPPA administrative provisions codifying electronic remittance transactions and procedural data.


Related Articles

  • Our goofs chew up your patients' money. Wollenberg, Yvonne Chilik // Medical Economics;4/20/2007, Vol. 84 Issue 8, p17 

    The article presents a survey commissioned by PNC Financial Services Group Inc. which shows the amount spent by patients on healthcare due to the error-prone claims processing system in the U.S. The survey was participated by 200 hospital and insurance executives, and 1,000 consumers. Insurance...

  • Ask: The Payment Expert. Boyer, Patricia // McKnight's Long-Term Care News;Jul2011, Vol. 32 Issue 7, p12 

    The article provides an answer to a question of how a facility can maintain financial solvency in a new environment with potential for reduction in resource utilization group (RUG) payment.

  • Correction.  // Las Vegas Business Press;8/9/2004, Vol. 21 Issue 30, p2 

    Provides a correction related to Medicare reimbursement.

  • CMS Releases Payment Amounts for Flu Shots.  // Part B Insider;10/30/2010, Vol. 11 Issue 39, p312 

    The article discusses the Part B reimbursement rate for influenza virus vaccine in the U.S. which was released by CMS on October 22, 2010. It outlines the Part B payment allowance for the flu immunizations and that carriers differ on whether they will cover the types of immunizations. Also...

  • Hospitals air concerns over 'site-neutral' payment. FIGLEY, MEG // AHA News;9/27/2013, Vol. 49 Issue 19, p3 

    The article reports on the sharing by three hospital leaders of their concerns with federal legislators and their staff in September 2013 on proposals for Medicare to pay hospitals the same rates as physician offices and surgical centers for certain services.

  • Double-dose decline. Isenberg, Steven F. // ENT: Ear, Nose & Throat Journal;Nov2007, Vol. 86 Issue 11, p670 

    The article reports on the decline in the overall Medicare reimbursements of physicians in the U.S. Two charts are provided that show the changes in the basic conversion factor from 2001 to 2007 and in relative value units (RVU) from 1999 to 2007. It is said that the conversation factors are...

  • Increasing office-based Medicare revenue in 2009. Asbell, Riva Lee // Ocular Surgery News;5/10/2009, Vol. 27 Issue 9, p42 

    The article presents tips for choosing between the office-based payment system and the ASC payment system. Information on the new ASC payment system introduced by Medicare is presented. Factors that should be part of the equation that is used to determine the final decision include convenience...

  • Proper reimbursement requires strong understanding of surgical modifiers. Asbell, Riva Lee // Ocular Surgery News;11/10/2008, Vol. 26 Issue 21, p101 

    The article looks at the most troublesome Current Procedure Terminology (CPT) modifiers which include modifiers 58, 78 and 79. It notes that Modifier 58 generates payment at 100% of the allowable by Medicare. Three clinical situations that warrant using modifier 58 are mentioned. Also discussed...

  • Tennessee Advocates Move Ahead With Education. Grater, Melissa J.; Singleton, Linda // ASHA Leader;7/12/2005, Vol. 10 Issue 9, p19 

    Reports on the plan of the Tennessee STAR committee to develop a program centered on health insurance reimbursements. Aim to help clients receive coverage needed for speech and language services; Pursuit of insurance mandates for coverage of early intervention services.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics