Medical service providers are responsible for billing insurance companies for their patients’ services and procedures. To do so, they must file medical claims as part of the medical billing process.

I’m writing regarding the Maine House Republicans’ recent press release about a federal audit finding $45.6 million in improper MaineCare autism payments from the state of Maine. As a retired ...

Claims processing can be a very time-consuming and complicated job. As recovery audit contractors scrutinize claims more closely, it is essential to have accurate documents. Sal Novin, CEO of ...

Puneet Maheshwari is the senior vice president and general manager for Optum Real at Optum. On any given weekday morning, care providers nationwide sit staring at computer screens, navigating and ...

(InvestigateTV) — For many Americans, receiving an unexpected, sky-high medical bill after an insurance claim is denied is an all-too-common nightmare. With medical expenses being one of the leading ...

The healthcare industry is in the midst of a financial crisis, with rising costs and inefficiencies in claims processing bleeding payers dry. According to a 2023 report by the American Medical ...

NASHVILLE, Tenn. (WKRN) — Customers who bought bioidentical hormone replacement therapy treatments from HRC Medical Centers may be eligible for a claim. On Tuesday, Tennessee Attorney General Jonathan ...

The financial landscape of healthcare is becoming increasingly complex. For payors and Third-Party Administrators (TPAs), the twin challenges of cost containment and ensuring payment accuracy are more ...

Jacob Dickison takes a photo with Santa Claus. He receives Applied Behavior Analysis therapy for his advanced autism, and the family has repeatedly had to appeal medical claim denials for that ...