Our Thoughts On Best Practices.

You Have A Partner

Get to know Nokomis in 5 minutes or less

July 2021
Posted in
Nokomis team sitting around a conference table

Welcome to Nokomis! We’re a close-knit community of individuals who radically believe that health plans should only pay for services that actually occurred. We actually believe in our mission so much, that we analyze health plan claims at no charge, and Nokomis is only paid when the plan saves money, at a percentage of those…

Continue Reading

Building a Better Claim Review Company

June 2021
Posted in ,
Nokomis Health | Founder Rich Henriksen

INTERVIEW WITH FOUNDER RICH HENRIKSEN How did you get started in the claims field? What was your career path prior to Nokomis? I graduated from Luther College in Decorah, Iowa with a biology degree and then received my master’s degree in hospital administration from The University of Iowa. Scott Anderson, the CEO of North Memorial…

Continue Reading

Medical Coding 101 – Insights, Challenges and Standard Practices

May 2021
Posted in ,
Nokomis Health | Medical Coding 101

Q&A WITH NOKOMIS DIRECTOR OF CODING ANNE KARL What are CPT Codes? As you may know, every procedure code on a claim is tied into a dollar amount. So if a coder miscodes something, the provider could be paid for a code that isn’t supported by the documentation or the clinic may be losing reimbursement…

Continue Reading

Winning the Battle on Health Care Costs

April 2021
Posted in ,
Health Care Interview

Industry conferences generally illuminate growing trends and broad, often brilliant ideas. Distinguished presenters glide through slides and issues providing probable causes and ideal answers. One can almost feel the enthusiasm ricocheting off the walls of Ballroom A… We’re going to make it after all!

Continue Reading

Why TPAs and ASOs Need to Offer Claim Review Services

March 2021
Posted in ,
Nokomis Health | Why TPA's Should Care

The Affordable Care Act (ACA), also known as “ObamaCare” is rapidly and profoundly changing the American healthcare landscape. In addition to expanding coverage to millions of people, the law imposes a new host of regulations and taxes on businesses.

Continue Reading

How & Why We Negotiate Medical Claims

February 2021
Posted in ,
Nokomis Health | Claim Negotiations

It is an all too common occurrence: a motorist is seriously injured in a car accident and requires emergent treatment. According to the National Safety Council, nearly 6,300 people sustain serious injuries every day in the U.S. due to motor vehicle accidents1. Most of these people are immediately transported to the nearest hospital for care.…

Continue Reading

Schemes, Errors & Scams – How Uncommon Claim Review Findings Lead to Savings

January 2021
Posted in ,
Nokomis Health | Stories from the Front Line

Nokomis Health’s coding team was reviewing a client’s out of network laboratory and a batch of genetic testing claims raised some questions. The claims appeared to be legitimate – the CPT code was valid, the diagnosis code supported the charge, the NPI and TIN were correct – but the charges were very high for the…

Continue Reading

How Do You Become an Expert Medical Coder?

December 2020
Posted in ,
Nokomis Health | Director of Coding Anne Karl

INTERVIEW WITH DIRECTOR OF CODING ANNE KARL How did you get into coding? My father was a family practice physician and I’ve always been drawn to that world. When I came out of school the traditional job for an RHIA (Registered Health Information Administrator) was to be the Director of Medical Records in a hospital setting, but…

Continue Reading

Managing high-cost air-ambulance claims

November 2020
Posted in ,
Nokomis Health | Cadillac Tax

Nokomis recently reduced the cost of a $100,000 air ambulance claim by 76%.  As a national leader in payment integrity and claim support services, Nokomis once again demonstrated a unique understanding of a very nuanced and expensive corner of healthcare services.

Continue Reading

The Power of the 59 Modifier

October 2020
Posted in ,
Nokomis Health | Modifier 59

Do you know how much power there is in a single two-digit number? Most payors and health plans don’t realize the impact that the 59 modifier can have on claim costs. Adding this simple modifier to a CPT code allows that code to bypass several code edits, resulting in erroneous and often incorrect payments. Providers have…

Continue Reading