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Claim Review
The importance of accountability in healthcare claims remains steadfast, especially as erroneous claims, fraud, billing mistakes, improper payments, and overpayments cost billions of dollars annually in the United States. Yes, making sure providers are paid promptly and protecting patients remain paramount, but so does adding accountability to claim submissions to wrangle the unnecessary costs to…
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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.
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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.…
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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…
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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.
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