Billing

Why Accepting Medicare Doesn't Mean Your Doctor Is In-Network
Management & Administration Why Accepting Medicare Doesn't Mean Your Doctor Is In-Network

Checking the provider directory is an unreliable method for verification because compliance regarding directory updates is uneven across the insurance industry. For many retirees, the realization that a trusted physician is no longer accessible occurs not during the enrollment process, but months

How to Protect Yourself From Patient Portal Phishing Scams
Tech & Innovation How to Protect Yourself From Patient Portal Phishing Scams

The rapid digitization of medical records across the United States has inadvertently opened a gateway for cybercriminals who are now aggressively targeting patients through highly deceptive portal scams. Healthcare systems are reporting a significant uptick in fraudulent activities where criminals

Does Medicare Pay for Nursing Home Hospice Room and Board?
Management & Administration Does Medicare Pay for Nursing Home Hospice Room and Board?

Even when a hospice provider coordinates care, the underlying contract for the nursing home bed remains a separate financial obligation for the family or the state. The transition to end-of-life care is often a time of immense emotional strain, frequently exacerbated by a significant

Kentucky Redefines Inmate Medical Care Costs to Ease County Burden
Management & Administration Kentucky Redefines Inmate Medical Care Costs to Ease County Burden

The fiscal strain on local budgets due to rising incarceration costs has reached a critical juncture in the Commonwealth. New administrative rules effective as of August 17 establish a clear distinction between the minor healthcare services counties must pay for and the expensive treatments the

Does Medicare Pay for Hospice Care in a Nursing Home?
Management & Administration Does Medicare Pay for Hospice Care in a Nursing Home?

Physicians must certify a life expectancy of six months or less for hospice eligibility, yet this certification does not unlock funding for residential housing. This nuance often catches families off guard during some of the most difficult moments of their lives. While Medicare Part A remains a

The Gap Between Medical Necessity and Insurance Coverage
Management & Administration The Gap Between Medical Necessity and Insurance Coverage

While actress Olivia Munn’s experience highlighted the life-saving potential of breast MRIs, many women find these critical scans are not covered by standard preventive care benefits. The American healthcare system often presents a jarring disconnect between what a doctor deems medically necessary

Loading

Subscribe to our weekly news digest.

Join now and become a part of our fast-growing community.

Invalid Email Address
Thanks for Subscribing!
We'll be sending you our best soon!
Something went wrong, please try again later