Social Media Ideas for Healthcare Reimbursement

What Healthcare Organizations Miss When It Comes to Reimbursement Accuracy

At the end of the day, the most important question is a simple one: Do you actually know if you’re being reimbursed correctly? The post What Healthcare Organizations Miss When It C...

Healthcare Claims Processing Keeps Dental Insurance Carriers Ahead of Reimbursement Deadlines

People appreciate it if their dental checkups are always affordable. The last thing people want is to spend a lot […] Magellan Solutions - Call Center | BPO | KPO | Outsourcing

The Reimbursement Challenges Hurting Women’s Health Companies, Per Milken Institute

Women’s health startups should plan for reimbursement early, as limited research and evidence can make securing coverage difficult, a new report explains. The post The Reimbursemen...

The Reimbursement Code Monopoly Is a Threat to Health

Healthcare in the United States is in a death spiral. Costs continue to rise, chronic diseases consume 90% of healthcare spending, and millions of Americans feel trapped in a syste...

FQHCs - The Expanding Landscape of Medicare Billing Outside of PPS for Care Management Services

Summary: Medicare has steadily expanded the services that Federally Qualified Health Centers can bill outside the Prospective Payment System, creating new reimbursement opportunit...

The Remote Monitoring Reckoning: What CMS’s CY 2027 Proposed Rule Means for Providers and Vendors

Medicare’s reimbursement of remote patient monitoring services, beginning in 2019, offered a meaningful patient care opportunity, paying to give patients devices to measure their h...

Hospital Prepayment Requirements Add New Wrinkles to Patients’ Financial Responsibility

Hospitals and other medical providers are increasingly asking for payment before providing care, collecting more of what patients might owe as rising insurance deductibles add to A...

CMS's Revised Medicare Overpayment Rule: What Healthcare Providers Need to Know

Self-insured employer health plans face a new reckoning

In 2026, the movement in health care toward accountability has begun. A future press release will mark this year as the crescendo that put transparency on price and fiduciary respo...

Court blocks provider lawsuit against Blue Cross over reimbursement

A verbal yes, a six-figure bill, then a payout that barely moved the needle

Why Healthcare Payers Are Accelerating Transformation Through Automated Insurance Claims Processing

Healthcare payers protect patients from high medical expenses, enabling them to receive the best care without financial hardship. Aside from […] Magellan Solutions - Call Center |...

Your Insurance Says 70 Percent, but You Got Only $140 Back

Your plan says 70 percent reimbursement, and the check says otherwise. That check is correct, and it's based on a number that actually determines what you get back.

NHIA outlines reimbursement increases

U.S. Employers Abandon Group Health Insurance

“As U.S. employers brace for the largest price hikes on employee health plans in 15 years, a growing number are opting out of group insurance altogether,” Bloomberg reports. “Inste...

Insurers set to pay out $759M in 2026 MLR rebates: KFF

Insurers expect to issue $759.2 million in medical loss ratio rebates this year, according to a new analysis.

Zavisa RCM Helps Providers Increase Revenue, Reduce Denials, and Improve Cash Flow

By providing billing support, denial management, and accounts receivable follow-up, Zavisa RCM helps healthcare practices improve revenue cycle efficiency and cash flow. The post Z...

Modernizing Payment Integrity in an Era of Systemic Fraud

Gaps in reimbursement oversight and recovery will only widen, unless plans modernize how they detect, investigate, and recoup improper payments. The post Modernizing Payment Integr...

Managing Healthcare Costs in 2027: Five Strategies Every Employer Should Consider

Healthcare costs have been climbing for years, but 2027 is shaping up to present one of the biggest challenges employers have faced in nearly two decades. Industry analysts are pro...

Top Medical Billing Challenges Facing Pennsylvania Healthcare Provider

Healthcare providers across Pennsylvania are facing an increasingly complex billing environment in 2026. With changing insurance policies, stricter payer requirements, evolving cod...

Why US Hospitals Drown in Claims While Canada Misses Clinical Data

US hospitals are fighting a massive wave of claims denials and billing complexity. Meanwhile, Canadian facilities are losing critical clinical data due to incomplete physician docu...

Complete Health Partners Holdings $14M FCA Settlement: Medicare Advantage Risk-Adjustment Fraud

Complete Health Partners Holdings, a Jacksonville-based management services organization overseeing affiliated provider groups in Florida, Alabama, and Colorado, has agreed to pay...

Comment on “We’re Sorry, That’s the Policy”: How a Medicare Advantage Runaround Nearly Cost a Senior His Sight by Shawn...

This is a powerful and concerning example of how delays in referrals, authorizations, provider networks, and claim processing can directly impact patient care. Timely and accurate...

Why Multi-Location Hospital Networks Are Rethinking Hospital Claims Processing

Patients must have easy access to hospitals for the specialized care that they need. The good thing is that multi-location […] Magellan Solutions - Call Center | BPO | KPO | Outsou...

US Representative Scrutinizes Practices of IDR Entities

Rep. Frank Pallone, Jr., is seeking information from six IDR entities amid concerns about No Surprises Act arbitration practices and rising healthcare costs. The post US Representa...