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What is Claim Accountability?

April 2022
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How intelligent claim selection goes beyond payment integrity When we think about medical coding from a patient’s perspective it can seem like an ironclad system: the doctor bills my health insurance for the services I received. Simple enough. However, what the average person isn’t seeing is the nuanced and complicated world of health claims coding.…

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March 2022 Claim Accountability Insights

March 2022
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A woman working on a computer with two men on each side of her looking at the computer screen

Join us every month on LinkedIn for Claim Accountability Insights with Nokomis! We’re sharing more about what Claim Accountability is, the impact it has, and how we can work together to improve accountability in healthcare claim submissions. This month, we explored the following topics: What’s the difference between Claim Accountability and payment integrity? How does…

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AI Has Its Place at the Table, With Humans

March 2022
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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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February 2022 Claim Accountability Insights

February 2022
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Close up of person typing on a laptop computer with one hand and writing on a piece of paper with the other hand

Join us every month on LinkedIn for Claim Accountability Insights with Nokomis! We’re sharing more about what Claim Accountability is, the impact it has, and how we can work together to improve accountability in healthcare claim submissions. This month, we explored the following topics: How does Nokomis’ Claim Accountability review differ from other payment integrity…

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Get to know Nokomis in 5 minutes or less

July 2021
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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…

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Building a Better Claim Review Company

June 2021
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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…

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Medical Coding 101 – Insights, Challenges and Standard Practices

May 2021
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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…

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Winning the Battle on Health Care Costs

April 2021
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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!

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Why TPAs and ASOs Need to Offer Claim Review Services

March 2021
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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.

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How & Why We Negotiate Medical Claims

February 2021
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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.…

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