Medical Appeal Case Study Clinical Appeals Case Study Challenge The client is suffering under an “onslaught” of denials and while struggling to keep up, they also would like to understand the exact reason for the denials and their fiscal impact on the client. Solution...
Passive, Proactive, and Retrospective Cost Containment in Medical AuditingA case study analysis of services supplied to our hospital/provider clientsBy Christopher Baggott, CEO Medlinks Cost Containment, Inc. The great boxer Jack Dempsey said, “The best defense is a...
As reimbursement rules catch up, providers embrace technologies for remote care and patient monitoring. Centralized care, with a hospital as the “hub,” is the standard in the U.S. today. But this familiar model is changing rapidly, as providers embrace remote care at...
By Susannah Luthi | October 10, 2018 Senate Democrats on Wednesday failed in an attempt to overturn the Trump administration’s expansion of so-called short-term, limited-duration plans, although they gained a Republican ally. Sen. Susan Collins (R-Maine) broke...
Here are some essential components of a HEDIS improvement that will efficiently and effectively move your numbers: 1. Powerful Analytics – Identifying and stratifying members with gaps in health care is the first step in maximizing scores. Models that predict how...
